Lone Reyaz Ahmed, Rahmath Muhammed Riyas, Sallehuddin Ahmad Bin, John Jiju
Division of Pediatric Cardiac Surgery, CT Surgery, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar.
World J Pediatr Congenit Heart Surg. 2013 Oct;4(4):439-41. doi: 10.1177/2150135113491293.
We report on an emergent use of hepatic-to-azygous vein connection using a 10-mm polytetrafluoroethylene graft in a 6-year-old girl who developed acute thrombosis of an extracardiac graft conduit from the hepatic veins to the pulmonary arteries. She had left atrial isomerism, interrupted inferior vena cava with azygous continuation, and had undergone surgical creation of bilateral superior cavopulmonary connections 5 years earlier. The emergency procedure to create hepatic-to-azygous connection resulted in successful salvage of the patient who was subsequently able to maintain stable oxygen saturations and experienced rapid regression of hepatic congestion and pleural effusions. Six months following the procedure, oxygen saturation was above 90%. Repeated echocardiography and computed tomography angiography showed patency of the hepatic-to-azygous connection.
我们报告了一名6岁女孩的紧急情况，她的肝静脉至肺动脉的心外移植管道发生急性血栓形成，使用10毫米聚四氟乙烯移植物建立肝静脉至奇静脉连接。她患有左心房异构、下腔静脉中断伴奇静脉延续，5年前接受了双侧上腔静脉-肺动脉连接的手术创建。建立肝静脉至奇静脉连接的紧急手术成功挽救了患者，患者随后能够维持稳定的血氧饱和度，肝淤血和胸腔积液迅速消退。术后6个月，血氧饱和度高于90%。重复超声心动图和计算机断层血管造影显示肝静脉至奇静脉连接通畅。
