Arterial desaturation due to pulmonary arteriovenous malformations after the Kawashima Operation

Arterial desaturation may occur after the Kawashima procedure and, in the absence of venovenous collaterals is usually due to pulmonary arteriovenous malformations. Stenting of the pulmonary arteries, oxygen therapy, and pulmonary vasodilators such as sildenafil have not been able to resolve the art...

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Bibliographic Details
Published in:Annals of pediatric cardiology 2016-01, Vol.9 (1), p.35-38
Main Author: Loomba, Rohit S
Format: Article
Language:English
Subjects:
Arteries
Arteriovenous malformations
Brief Communication
Cardiovascular disease
Causes of
Children & youth
Complications and side effects
Cyanosis
Glenn
Health aspects
Heart surgery
heterotaxy
inferior caval vein
inferior vena cava
interrupted
isomerism
Kawashima
Pulmonary arteries
saturations
Surgical techniques
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Summary:Arterial desaturation may occur after the Kawashima procedure and, in the absence of venovenous collaterals is usually due to pulmonary arteriovenous malformations. Stenting of the pulmonary arteries, oxygen therapy, and pulmonary vasodilators such as sildenafil have not been able to resolve the arterial desaturation and the only way to do this has been Fontan completion. The time course of the formation of these malformations after the Kawashima and the progression of cyanosis and its resolution after the Fontan has only been demonstrated in case reports and small case series. We pool the available data to model arterial saturations in patients with pulmonary arteriovenous malformations after the Kawashima procedure.
ISSN:0974-2069
0974-5149
DOI:10.4103/0974-2069.171395