title: Bidirectional cavopulmonary shunt using the azygos vein.
abstract: A case is described in which a two-year-old boy, diagnosed with common atrioventricular canal, pulmonary atresia, major aortopulmonary collateral artery, asplenia, and situs inversus, underwent palliative operations for the following: unifocalization of the right major aortopulmonary collateral artery, right ventricle-to-pulmonary artery shunt, and pulmonary artery plasty. Upon completion of the bidirectional cavopulmonary shunt operation, we addressed the stenotic lesions of the superior vena cava and left pulmonary artery, and a markedly expanded azygos vein. During this operation, the superior vena cava was divided and we performed cavopulmonary shunting with the azygos vein.
authors.affiliation: Department of Cardiovascular Surgery, Saitama Children's Medical Center, Iwatsuki, Saitama, Japan.
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Ko
authors.forename: Yuzuru
authors.initials: Y
authors.lastname: Nakamura
authors.forename: Koji
authors.initials: K
authors.lastname: Nomura
authors.forename: Fumihito
authors.initials: F
authors.lastname: Yamashiro
mesh_terms: D000015:Abnormalities, Multiple / Q000175:diagnosis / Q000601:surgery; D000714:Anastomosis, Surgical; D001401:Azygos Vein / Q000601:surgery*; D006348:Cardiac Surgical Procedures; D002675:Child, Preschool; D003937:Diagnosis, Differential; D006330:Heart Defects, Congenital / Q000175:diagnosis* / Q000601:surgery*; D006801:Humans; D008297:Male; D011651:Pulmonary Artery / Q000601:surgery*; D018633:Pulmonary Atresia / Q000175:diagnosis / Q000601:surgery; D014683:Vena Cava, Superior / Q000601:surgery*