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Ann Thorac Surg 1999;67:1494-1496
© 1999 The Society of Thoracic Surgeons

Case Reports

Intrahepatic venovenous shunting to an accessory hepatic vein after Fontan type operation

Naoki Yoshimura, MDa, Masahiro Yamaguchi, MDa, Yoshihiro Oshima, MDa, Teruo Tei, MDb, Kyoichi Ogawa, MDa

a Department of Cardiothoracic Surgery, Kobe Children’s Hospital, Kobe, Japan
b Department of Cardiology, Kobe Children’s Hospital, Kobe, Japan

Accepted for publication November 2, 1998.

Address reprint requests to Dr Yoshimura, Department of Cardiothoracic Surgery, Kobe Children’s Hospital, 1-1-1, Takakura-dai, Suma-ku, Kobe, 654-0081, Japan
e-mail: y-naoki{at}za2.so-net.ne.jp

Because there are various types of systemic venous connections in patients with visceral heterotaxy, unanticipated abnormal systemic venous channels may pose additional problems after a Fontan type operation. We report a case of severe cyanosis caused by anomalous intrahepatic venovenous fistula to an accessory hepatic vein early after total cavopulmonary anastomosis.




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N. Yoshimura, M. Yamaguchi, Y. Oshima, S. Oka, Y. Ootaki, T. Tei, and S. Kido
Risk factors influencing early and late mortality after total cavopulmonary connection
Eur. J. Cardiothorac. Surg., September 1, 2001; 20(3): 598 - 602.
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