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Ann Thorac Surg 1999;68:232-233
© 1999 The Society of Thoracic Surgeons

Case Reports

Hepatic vein to the azygous vein anastomosis for pulmonary arteriovenous fistulae

Roger J.F. Baskett, MDa, David B. Ross, MDa, Andrew E. Warren, MDa, Geoffrey P. Sharratt, MBa, David A. Murphy, MDa

a Cardiovascular Surgery, IWK Grace Health Centre, Halifax, Nova Scotia, Canada

Address reprint requests to Dr Murphy, Cardiovascular Surgery, IWK Grace Health Centre, 5850/5980 University Ave, PO Box 3070, Halifax, NS, B3J 3G9 Canada
e-mail: dross{at}iwkgrace.ns.ca

Pulmonary arteriovenous fistulae after a cavopulmonary anastomosis have been reported to resolve after hepatic venous return is included in the pulmonary circulation. We report a case in which the hepatic veins were redirected to the pulmonary circulation by connecting them directly to the azygous continuation of the inferior vena cava that had previously been connected to the right pulmonary artery. The patient’s arterial saturation of 71% increased to 92% after 6 months.


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