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Severe Cyanosis After Kawashima Operation Resulting From Congenital Portosystemic Shunt
Journal article   Open access   Peer reviewed

Severe Cyanosis After Kawashima Operation Resulting From Congenital Portosystemic Shunt

Yuki Nakamura, Mitsuru Aoki, Ikuo Hagino and Hiromichi Nakajima
The Annals of thoracic surgery, Vol.93(4), pp.1315-1317
04/01/2012
DOI: 10.1016/j.athoracsur.2011.08.058
PMID: 22450089
url
https://doi.org/10.1016/j.athoracsur.2011.08.058View
Published (Version of record) Open Access

Abstract

We describe an unusual case of a patient with polysplenia, inferior vena cava (IVC) interruption, and unrecognized congenital portosystemic venous connection (CPVC) in whom severe cyanosis developed in the acute postoperative stage after a Kawashima operation and required urgent surgical division of the CPVC. It has been stressed recently that CPVCs and other abdominal venous abnormalities have been underdiagnosed in patients with polysplenia and IVC interruption, and we think that a routine evaluation of abdominal venous connections should be mandatory before considering the Kawashima operation for these patients.
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