Tofeig M, Walsh K P, Arnold R
Heart Clinic, Alder Hey Children's Hospital, Liverpool, UK.
Heart. 1998 Jun;79(6):624-6. doi: 10.1136/hrt.79.6.624.
A residual hepatic vein to left atrial communication may result in progressive cyanosis after the Fontan procedure. This problem has usually been treated surgically by ligation or re-inclusion of the residual hepatic vein in the Fontan circulation. Previous attempts at transcatheter closure of such veins have been unsuccessful. An Amplatzer septal occluder was successfully used for transcatheter closure of a post-Fontan hepatic vein to pulmonary venous atrium fistula in an 8 year old boy.
残留肝静脉与左心房之间的交通在Fontan手术后可能导致进行性发绀。这个问题通常通过手术结扎或在Fontan循环中重新纳入残留肝静脉来治疗。以往经导管封堵此类静脉的尝试均未成功。一名8岁男孩的Fontan术后肝静脉至肺静脉心房瘘成功使用Amplatzer房间隔封堵器进行经导管封堵。