PMID- 24702981
OWN - NLM
STAT- MEDLINE
DCOM- 20150212
LR  - 20220408
IS  - 1444-2892 (Electronic)
IS  - 1443-9506 (Linking)
VI  - 23
IP  - 7
DP  - 2014 Jul
TI  - Retrospective study of results of Kawashima procedure.
PG  - 674-9
LID - S1443-9506(14)00071-7 [pii]
LID - 10.1016/j.hlc.2014.01.016 [doi]
AB  - BACKGROUND: Patients with single ventricle physiology and an interrupted inferior 
      caval vein undergo the Kawashima procedure. With increasing follow-up, pulmonary 
      arteriovenous malformations may develop requiring hepatocardiac venous 
      redirection. METHODS: Between January 2005 and December 2012, 15 patients 
      underwent the Kawashima procedure. Preoperative and postoperative characteristics 
      along with functional class, intra-operative details, post-operative course, 
      saturations and haematocrit were recorded. RESULTS: Median age at operation was 
      five years (range 1- 20 years). Five patients had antegrade pulmonary blood flow 
      interrupted and 10 patients had open antegrade flow. There were no deaths. Mean 
      saturation in postoperative period was 90.8 +/-1.36%. Median duration of mechanical 
      ventilation and inotropic support was six and 16hours respectively. Median 
      duration of pleural drainage was six days. Median duration of pleural drainage in 
      antegrade flow open and interrupted group was six days and four days 
      respectively. The mean hospital stay was 10.5 days +/-7.1 days. Mean follow up was 
      40.2 +/-31 months (median-30 months). Nine patients (60%) were in New York Heart 
      Association (NYHA) functional class 1 and five patients (33.3%) were in NYHA 
      functional class 2 at last follow-up. Only one patient was in class 3 and needs 
      completion Fontan. CONCLUSIONS: The Kawashima procedure can be safely performed 
      with acceptable early results. Although studies have shown the risk of pulmonary 
      arteriovenous malformations after Kawashima procedure in the mid and long-term, 
      our findings do not support this. Kawashima procedure with open antegrade 
      pulmonary blood flow as a definite intervention in such patients is debatable.
CI  - Copyright (c) 2014 Australian and New Zealand Society of Cardiac and Thoracic 
      Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ). 
      Published by Elsevier B.V. All rights reserved.
FAU - Talwar, Sachin
AU  - Talwar S
AD  - Cardiothoracic Centre, All India Institute of Medical Sciences, New Delhi, India. 
      Electronic address: sachintalwar@hotmail.com.
FAU - Jaiswal, Lokesh Shekher
AU  - Jaiswal LS
AD  - Cardiothoracic Centre, All India Institute of Medical Sciences, New Delhi, India.
FAU - Choudhary, Shiv Kumar
AU  - Choudhary SK
AD  - Cardiothoracic Centre, All India Institute of Medical Sciences, New Delhi, India.
FAU - Saxena, Anita
AU  - Saxena A
AD  - Cardiothoracic Centre, All India Institute of Medical Sciences, New Delhi, India.
FAU - Juneja, Rajnish
AU  - Juneja R
AD  - Cardiothoracic Centre, All India Institute of Medical Sciences, New Delhi, India.
FAU - Kothari, Shyam Sunder
AU  - Kothari SS
AD  - Cardiothoracic Centre, All India Institute of Medical Sciences, New Delhi, India.
FAU - Airan, Balram
AU  - Airan B
AD  - Cardiothoracic Centre, All India Institute of Medical Sciences, New Delhi, India.
LA  - eng
PT  - Clinical Trial
PT  - Journal Article
DEP - 20140214
PL  - Australia
TA  - Heart Lung Circ
JT  - Heart, lung & circulation
JID - 100963739
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Arteriovenous Malformations/physiopathology/*surgery
MH  - Child
MH  - Child, Preschool
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Infant
MH  - Male
MH  - *Pulmonary Circulation
MH  - Retrospective Studies
MH  - Time Factors
MH  - Vascular Surgical Procedures/*methods
MH  - Vena Cava, Superior/*surgery
OTO - NOTNLM
OT  - Arteriovenous malformations
OT  - Bidirectional Glenn
OT  - Cavopulmonary connection
OT  - Cyanotic heart disease
OT  - Single ventricle
EDAT- 2014/04/08 06:00
MHDA- 2015/02/13 06:00
CRDT- 2014/04/08 06:00
PHST- 2013/10/25 00:00 [received]
PHST- 2014/01/21 00:00 [revised]
PHST- 2014/01/30 00:00 [accepted]
PHST- 2014/04/08 06:00 [entrez]
PHST- 2014/04/08 06:00 [pubmed]
PHST- 2015/02/13 06:00 [medline]
AID - S1443-9506(14)00071-7 [pii]
AID - 10.1016/j.hlc.2014.01.016 [doi]
PST - ppublish
SO  - Heart Lung Circ. 2014 Jul;23(7):674-9. doi: 10.1016/j.hlc.2014.01.016. Epub 2014 
      Feb 14.