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Ann Thorac Surg 1997;63:1177-1179
© 1997 The Society of Thoracic Surgeons


Case Report

Hepatic Venous Malformation After Modified Fontan Procedure With Partial Hepatic Vein Exclusion

Douglas J. Schneider, MD, Anirban Banerjee, MD, Alan M. Mendelsohn, MD, William I. Norwood, Jr, MD

Children's Hospital Medical Center, Cincinnati, Ohio, and Children's Hospital of Philadelphia, Philadelphia, Pennsylvania

Accepted for publication November 18, 1996.

Partial hepatic vein exclusion, as an alternative to baffle fenestration, has been performed as a modification of the Fontan procedure. We report a case of severe cyanosis resulting from massive right-to-left shunting via a hepatic vascular malformation that developed in a patient after a modified Fontan procedure with partial hepatic vein exclusion.




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