Kawashima procedure after staged unifocalizations in asplenia with major aortopulmonary collateral arteries

Yukiko Ban; Mio Noma; Hitoshi Horigome; Hideyuki Kato; Chiho Tokunaga; Yuzuru Sakakibara; Yuji Hiramatsu

doi:10.1016/j.athoracsur.2009.07.086

Kawashima procedure after staged unifocalizations in asplenia with major aortopulmonary collateral arteries

Ann Thorac Surg. 2010 Mar;89(3):971-3. doi: 10.1016/j.athoracsur.2009.07.086.

Authors

Yukiko Ban¹, Mio Noma, Hitoshi Horigome, Hideyuki Kato, Chiho Tokunaga, Yuzuru Sakakibara, Yuji Hiramatsu

Affiliation

¹ Department of Cardiovascular Surgery, University of Tsukuba, Tsukuba, Japan.

PMID: 20172172
DOI: 10.1016/j.athoracsur.2009.07.086

Abstract

We report a Kawashima procedure (total cavopulmonary shunt) successfully carried out for asplenia syndrome, pulmonary atresia, and major aortopulmonary collateral arteries. At the age of 8, the patient underwent staged bilateral unifocalizations using confluent central pulmonary arteries concomitant with bilateral modified Blalock-Taussig shunts. As the result of an interrupted inferior vena cava with azygous continuation, the patient required a Kawashima procedure with augmentation of the central pulmonary arteries for definitive palliation 1 year later. Cyanosis, respiratory distress, and ventricular function improved.

Publication types

Case Reports

MeSH terms

Aorta, Thoracic / abnormalities
Cardiovascular Surgical Procedures* / methods
Child
Collateral Circulation*
Female
Heart Bypass, Right*
Heart Defects, Congenital / surgery*
Humans
Pulmonary Artery / surgery*
Pulmonary Atresia / surgery*
Pulmonary Circulation*
Spleen / abnormalities*