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Akira Furuse
Yutaka Kotsuka
Kuniyoshi Yagyu
Motohiro Kawauchi
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Ann Thorac Surg 1993;55:1574-1575
© 1993 The Society of Thoracic Surgeons

Articles

Retrograde gastric varices in a patient with total cavopulmonary shunt

Akira Furuse, MD*, Kenji Koseni, MD, Mika Takeshita, MD, Yutaka Kotsuka, MD, Kuniyoshi Yagyu, MD, Motohiro Kawauchi, MD

Department of Cardiothoracic Surgery, University of Tokyo, Tokyo, Japan

Accepted for publication August 13, 1992.

* Address reprint requests to Dr Furuse, Department of Cardiothoracic Surgery, Faculty of Medicine, University of Tokyo, 7-3-1 Hongo, Bunkyoku, Tokyo 113, Japan.

Gastric varices formed in a patient who had undergone a total cavopulmonary shunt operation 7 years previously. The varices were found to be due to development of collaterals from high-pressure systemic vein to low-pressure portal vein. Bleeding gastric varix can be a late complication of total cavopulmonary shunt.






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