Fenestration Between the Left Atrial Appendage and Left Superior Vena Cava in Kawashima Operation

• Published in: The Annals of thoracic surgery Vol. 86; no. 6; pp. 2000 - 2001
• Main Authors: Turkoz, Rıza, MD, Omay, Oğuz, MD, Ayabakan, Canan, MD, Vuran, Can, MD, Tokel, Kurşat, MD, Günay, İlhan, MD, Aşlamaci, Sait, MD
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01-12-2008; Elsevier
• Subjects: Abnormalities, Multiple - diagnosis; Abnormalities, Multiple - surgery; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy; Atrial Appendage - surgery; Biological and medical sciences; Cardiology. Vascular system; Cardiothoracic Surgery; Combined Modality Therapy; Double Outlet Right Ventricle - surgery; Follow-Up Studies; Fontan Procedure - methods; Heart Defects, Congenital - diagnosis; Heart Defects, Congenital - surgery; Heart Septal Defects, Atrial - surgery; Heart Septal Defects, Ventricular - surgery; Hemodynamics - physiology; Humans; Hypoplastic Left Heart Syndrome - surgery; Infant; Male; Medical sciences; Palliative Care; Pneumology; Pulmonary Valve Stenosis - surgery; Risk Assessment; Surgery; Treatment Outcome; Vena Cava, Superior - abnormalities; Vena Cava, Superior - surgery; 20; Left; Treatment; Surgery; Anesthesia; Circulatory system; Operation; Left atrium; Cardiology; Superior vena cava
• ISSN: 0003-4975; 1552-6259
• DOI: 10.1016/j.athoracsur.2008.04.094

The benefits of a baffle fenestration in essentially high-risk Fontan patients have been demonstrated. Described here is the use of a new fenestration between the left atrial appendage and the left superior vena cava after Kawashima operation in a patient with a double-outlet right ventricle with hypoplastic left ventricle, left atrial isomerism, bilateral superior vena cavae with no bridging vein, an interrupted inferior vena cava, and continuation of the hemiazygos vein to the left superior vena cava.