Korean J Thorac Cardiovasc Surg.
2003 Apr;36(4):280-284.
Creation of an Axillary Arteriovenous Fistula in Patients with the Pulmonary Arteriovenous Fistula after a Bidirectional Cavopulmonary Shunt: 2 cases
- Affiliations
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- 1Department of Cardiovascular and Thoracic Surgery, Gachon Medical School, Gil Heart Center, Korea. leechha@ghil.com
- 2Department of Pediatric Cardiology, Gachon Medical School, Gil Heart Center, Korea.
Abstract
- Creation of an axillary arteriovenous fistula (AVF) was performed in two patients with high risks of Fontan operation after a cavopulmonary shunt. The patients complained of progressive cyanosis and decrease in exercise tolerance, and they showed pulmonary arteriovenous fistula on the pulmonary angiography. They were uneventfully transferred to the general ward on the first postoperative day and discharged 3 and 4 days after the operation respectively. There was no evidence of fistula-related volume loading and the other postoperative complications. An 8-month follow-up revealed improved symptoms such as, cyanosis and exercise intolerance, but not sufficient regression of pulmonary arteriovenous fistula on a lung perfusion scan and contrast echocardiography, which should be carefully checked hereafter.
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