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Enrico Aidala
Maria Teresa Cascarano
Andrea Valori
Pietro Angelo Abbruzzese
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Right arrow Congenital - cyanotic

Ann Thorac Surg 2004;78:1089-1090
© 2004 The Society of Thoracic Surgeons

Case report

Partial hepatic vein diversion in pulmonary arteriovenous malformations in congenital heart disease

Enrico Aidala, MDa,*, Enrico Chiappa, MDb, Maria Teresa Cascarano, MDa, Andrea Valori, MDa, Pietro Angelo Abbruzzese, MDa

a Department of Pediatric Cardiac Surgery, Ospedale Infantile "Regina Margherita," Torino, Italy
b Department of Pediatric Cardiology, Ospedale Infantile "Regina Margherita," Torino, Italy

Accepted for publication June 25, 2003.

* Address reprint requests to Dr Aidala, Via Canova 46, 10126 Torino, Italy
enri.ema{at}tiscalinet.it

The late appearance of pulmonary arteriovenous malformations after operations for complex congenital cardiac conditions may be explained in many ways. The necessity of hepatic blood flow to the lungs is now generally accepted for carrying some labile substance that is secreted by the liver and that has not yet been identified. Rerouting of hepatic blood to the lungs in cardiac patients can be accomplished with different methods, most of which are predisposed to thrombosis because of the slow flow in the tunnel. My colleagues and I describe a case of partial diversion of hepatic blood into the pulmonary circulation and suggest a strategy to decrease the likelihood of conduit thrombosis and to treat pulmonary arteriovenous malformations.






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