Hepatic vein to the azygous vein anastomosis for pulmonary arteriovenous fistulae.
Pulmonary arteriovenous fistulae after a cavopulmonary anastomosis have been reported to resolve after hepatic venous return is included in the pulmonary circulation. We report a case in which the hepatic veins were redirected to the pulmonary circulation by connecting them directly to the azygous continuation of the inferior vena cava that had previously been connected to the right pulmonary artery. The patient's arterial saturation of 71% increased to 92% after 6 months.
Cardiovascular Surgery, IWK Grace Health Centre, Halifax, Nova Scotia, Canada.
R J
RJ
Baskett
D B
DB
Ross
A E
AE
Warren
G P
GP
Sharratt
D A
DA
Murphy
D000293:Adolescent; D000714:Anastomosis, Surgical; D001164:Arteriovenous Fistula / Q000209:etiology / Q000601:surgery*; D001166:Arteriovenous Shunt, Surgical / Q000379:methods; D001401:Azygos Vein / Q000601:surgery*; D006330:Heart Defects, Congenital / Q000473:pathology / Q000601:surgery; D006503:Hepatic Veins / Q000601:surgery*; D006801:Humans; D011183:Postoperative Complications; D011651:Pulmonary Artery / Q000002:abnormalities* / Q000601:surgery; D011652:Pulmonary Circulation; D011667:Pulmonary Veins / Q000002:abnormalities*; D012086:Reoperation; D014682:Vena Cava, Inferior / Q000002:abnormalities / Q000601:surgery