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Ann Thorac Surg 2003;75:271-273
© 2003 The Society of Thoracic Surgeons

Case report

The fenestrated Kawashima operation for single ventricle with interrupted inferior vena cava

Robert L. Hannan, MD*a, Anthony F. Rossi, MDa, David G. Nykanen, MDa, Leo Lopez, MDa, Francisco Alonso, RNFAa, Jeffrey A. White, MSa, Redmond P. Burke, MDa

a Division of Cardiovascular Surgery, Miami Children ’s Hospital, Miami, Florida, USA

Accepted for publication August 9, 2002.

* Address reprint requests to Dr Hannan, Division of Cardiovascular Surgery, 3200 SW 60th Court, Suite 102, Miami, FL 33155, USA
e-mail: rhannan001{at}aol.com

An 8-month-old boy with double outlet right ventricle with hypoplastic left ventricle, heterotaxy, left atrial isomerism, bilateral superior vena cavae without bridging vein, and interruption of the inferior vena cava with azygous continuation to the left superior cava underwent a bilateral bidirectional cavopulmonary anastomosis. A calibrated 3-mm connection between the right pulmonary artery and the common atrium was constructed with the proximal right superior vena cava to allow right to left shunting, analogous to a fenestration in a Fontan operation. We hypothesize that in small young patients undergoing the Kawashima operation a fenestration may improve postoperative hemodynamics.




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Home page
 J. Thorac. Cardiovasc. Surg.Home page
D. Picarelli, J. L. Montenegro, S. Antunez, W. Perez, and D. Borbonet
Modified fenestration technique for the Kawashima operation in a young infant
J. Thorac. Cardiovasc. Surg., February 1, 2005; 129(2): 451 - 452.
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