Creation of an Axillary Arteriovenous Fistula in Patients with the Pulmonary Arteriovenous Fistula after a Bidirectional Cavopulmonary Shunt: 2 cases .
- Author:
Chang Ha LEE
1
;
Yang Bin JEON
;
Jae Woong LEE
;
Chul Hyun PARK
;
Kook Yang PARK
;
Mi Young HAN
;
Sung Jae LEE
;
Seong Ho KIM
Author Information
1. Department of Cardiovascular and Thoracic Surgery, Gachon Medical School, Gil Heart Center, Korea. leechha@ghil.com
- Publication Type:Case Report
- Keywords:
Arteriovenous fistula, surgical;
Pulmomary arteriovenous fistula;
Fontan operation;
Axilla
- MeSH:
Angiography;
Arteriovenous Fistula*;
Axilla;
Cyanosis;
Echocardiography;
Exercise Tolerance;
Follow-Up Studies;
Fontan Procedure*;
Heart Bypass, Right;
Humans;
Lung;
Patients' Rooms;
Perfusion;
Postoperative Complications
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2003;36(4):280-284
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Creation of an axillary arteriovenous fistula (AVF) was performed in two patients with high risks of Fontan operation after a cavopulmonary shunt. The patients complained of progressive cyanosis and decrease in exercise tolerance, and they showed pulmonary arteriovenous fistula on the pulmonary angiography. They were uneventfully transferred to the general ward on the first postoperative day and discharged 3 and 4 days after the operation respectively. There was no evidence of fistula-related volume loading and the other postoperative complications. An 8-month follow-up revealed improved symptoms such as, cyanosis and exercise intolerance, but not sufficient regression of pulmonary arteriovenous fistula on a lung perfusion scan and contrast echocardiography, which should be carefully checked hereafter.
