Slavik Z, Lamb R K, Webber S A, Delaney D J, Salmon A P
Wessex Cardiothoracic Centre, Southampton General Hospital, United Kingdom.
Ann Thorac Surg. 1995 Aug;60(2):435-7. doi: 10.1016/0003-4975(95)00005-6.
The expected level of systemic arterial saturation may not be present after bidirectional superior cavopulmonary anastomosis in children with complex congenital cardiac anomalies. We present a case of persistent severe cyanosis in a patient with azygos continuation of the inferior vena cava after bidirectional superior cavopulmonary anastomosis (Kawashima procedure) due to an intrahepatic venovenous malformation. Subsequent transcatheter deployment of two Rashkind double umbrella devices into the malformation reduced the shunt and markedly improved systemic arterial saturation.
对于患有复杂先天性心脏畸形的儿童，在双向腔肺吻合术后，全身动脉血氧饱和度可能未达到预期水平。我们报告了一例因肝内静脉-静脉畸形，在双向腔肺吻合术（川岛手术）后出现奇静脉延续下腔静脉的患者持续严重发绀的病例。随后通过经导管将两个拉什金德双伞装置置入畸形部位，减少了分流并显著提高了全身动脉血氧饱和度。
