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Hepatic to azygos connection by autologous pericardial roll for Fontan completion

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Abstract Techniques for performing the Fontan completion procedure after Kawashima procedure have developed in recent years. This paper presents a case in which we performed an off-pump hepatic-to-azygos connection by… Click to show full abstract

Abstract Techniques for performing the Fontan completion procedure after Kawashima procedure have developed in recent years. This paper presents a case in which we performed an off-pump hepatic-to-azygos connection by autologous pericardial roll via thoracotomy as a modified Fontan completion. The operation wound was limited, and the short-term follow-up was satisfactory. Notably, it was found that the autologous pericardium might require a shorter period of anticoagulation treatment than what is needed for artificial prosthetic materials.

Keywords: hepatic azygos; completion; azygos connection; autologous pericardial; connection autologous; fontan completion

Journal Title: Cardiology in the Young
Year Published: 2020

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