Department of Cardiovascular Surgery, University of Tsukuba, Tsukuba, Japan.
Ann Thorac Surg. 2010 Mar;89(3):971-3. doi: 10.1016/j.athoracsur.2009.07.086.
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.
我们报告了一例 Kawashima 手术（全腔静脉肺动脉吻合术）成功用于治疗脾缺失综合征、肺动脉闭锁和主肺动脉侧支循环。患者 8 岁时接受了分期双侧融合中央肺动脉吻合术，同时进行双侧改良 Blalock-Taussig 分流术。由于下腔静脉中断伴奇静脉延续，患者在 1 年后需要进行 Kawashima 手术，并对中央肺动脉进行增宽以进行确定性姑息治疗。发绀、呼吸窘迫和心室功能得到改善。
