title: The fenestrated Kawashima operation for single ventricle with interrupted inferior vena cava.
abstract: An 8-month-old boy with double outlet right ventricle with hypoplastic left ventricle, heterotaxy, left atrial isomerism, bilateral superior vena cavae without bridging vein, and interruption of the inferior vena cava with azygous continuation to the left superior cava underwent a bilateral bidirectional cavopulmonary anastomosis. A calibrated 3-mm connection between the right pulmonary artery and the common atrium was constructed with the proximal right superior vena cava to allow right to left shunting, analogous to a fenestration in a Fontan operation. We hypothesize that in small young patients undergoing the Kawashima operation a fenestration may improve postoperative hemodynamics.
authors.affiliation: Division of Cardiovascular Surgery, Miami Children's Hospital, Miami, Florida 33155, USA. rhannan001@aol.com
authors.forename: Robert L
authors.initials: RL
authors.lastname: Hannan
authors.forename: Anthony F
authors.initials: AF
authors.lastname: Rossi
authors.forename: David G
authors.initials: DG
authors.lastname: Nykanen
authors.forename: Leo
authors.initials: L
authors.lastname: Lopez
authors.forename: Francisco
authors.initials: F
authors.lastname: Alonso
authors.forename: Jeffrey A
authors.initials: JA
authors.lastname: White
authors.forename: Redmond P
authors.initials: RP
authors.lastname: Burke
mesh_terms: D006348:Cardiac Surgical Procedures / Q000379:methods; D004310:Double Outlet Right Ventricle / Q000601:surgery; D006345:Heart Septal Defects, Ventricular / Q000601:surgery*; D006801:Humans; D007223:Infant; D008297:Male; D011651:Pulmonary Artery / Q000601:surgery; D014682:Vena Cava, Inferior / Q000002:abnormalities* / Q000601:surgery