• Ann. Thorac. Surg. · May 2003

    Case Reports

    New approach to the surgical management of pulmonary arteriovenous malformations after cavopulmonary anastomosis.

    • Jay Steinberg, George M Alfieris, Berkeley Brandt, Frank Smith, Craig J Byrum, Gregory W Fink, and Jeffrey Halter.
    • Department of Cardiovascular Surgery, SUNY Upstate Medical University, Syracuse, New York 13210, USA. steinbja@upstate.edu
    • Ann. Thorac. Surg. 2003 May 1; 75 (5): 1640-2.

    AbstractThe development of pulmonary arteriovenous malformations after cavopulmonary bypass in patients with congenital heart disease is well documented. We report successful management of pulmonary arteriovenous malformations after cavopulmonary bypass in a patient with an interrupted inferior vena cava (IVC) and multiple hepatic veins utilizing an extracardiac conduit from the hepatic veins to the hemiazygous continuation of the interrupted IVC. This technique, performed without circulatory arrest or an atriotomy, may limit morbidity associated with intracardiac procedures in patients with single ventricle morphology. Furthermore, this case suggests an alternative technique for completion Fontan in patients with an interrupted IVC and multiple hepatic venous drainage.

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