Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Beitzke, A; Gamillscheg, A; Knez, I; Sorantin, E; Maier, R; Koestenberger, M.
Late development of a large intrahepatic fistula after "closure" of an atrial septal defect.
J Thorac Cardiovasc Surg. 2010; 139(3):e43-e45
Doi: 10.1016/j.jtcvs.2008.10.023
(- Case Report)
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- Führende Autor*innen der Med Uni Graz
- Beitzke Albrecht
- Co-Autor*innen der Med Uni Graz
- Gamillscheg Andreas
- Knez Igor
- Koestenberger Martin
- Maier Robert
- Sorantin Erich
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- Abstract:
- Partial hepatic vein (HV) exclusion as an alternative for baffle fenestration was used as a modification in patients undergoing the Fontan repair to achieve reduced systemic venous pressure and reduced serous effusions. 1 Large intrahepatic venovenous communications, which can create massive arterial desaturation through an increasing right-to-left shunt caused by venous pressure differences between the caval system and the left atrium (LA), are known to develop after that type of operation. 2,3 An intrahepatic venovenous fistula was diagnosed 25 years after surgical closure of an atrial septal defect (ASD). The fistula developed after inadvertent malposition of the patch, which directed inferior vena caval (IVC) flow to the LA and also divided hepatic venous return. The pressure difference between the IVC and LA to the right atrium (RA) obviously opened up hepatic vessels and thus created a large shunt from the IVC to the RA. There are close relations to similar findings after the Fontan operation with partial exclusion of HVs.
- Find related publications in this database (using NLM MeSH Indexing)
- Adult -
- Female -
- Heart Septal Defects, Atrial - surgery
- Hepatic Veins -
- Humans -
- Liver - blood supply
- Postoperative Complications - diagnosis
- Postoperative Complications - etiology
- Time Factors -
- Vascular Fistula - etiology