Hepatic to azygos connection by autologous pericardial roll for Fontan completion

Techniques for performing the Fontan completion procedure after Kawashima procedure have developed in recent years. This paper presents a case in which we performed an off-pump hepatic-to-azygos connection by autologous pericardial roll via thoracotomy as a modified Fontan completion. The operation...

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Bibliographic Details
Published in:Cardiology in the young 2020-09, Vol.30 (9), p.1356-1357
Main Authors: Shi, Tao, Gao, Zhan, Hua, Zhongdong
Format: Article
Language:English
Subjects:
Anticoagulants
Fistula
Heart surgery
Liver
Medical imaging
Ostomy
Oxygen saturation
Pericardium
Prostheses
Pulmonary arteries
Veins & arteries
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Summary:Techniques for performing the Fontan completion procedure after Kawashima procedure have developed in recent years. This paper presents a case in which we performed an off-pump hepatic-to-azygos connection by autologous pericardial roll via thoracotomy as a modified Fontan completion. The operation wound was limited, and the short-term follow-up was satisfactory. Notably, it was found that the autologous pericardium might require a shorter period of anticoagulation treatment than what is needed for artificial prosthetic materials.
ISSN:1047-9511
1467-1107
DOI:10.1017/S1047951120001961