Hepatic Venous Occlusion During Cardiopulmonary Bypass in Patients With Heterotaxy Syndrome: A Safe but Underutilized Option Frank Edwin, MD, Lawrence.

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Presentation transcript:

Hepatic Venous Occlusion During Cardiopulmonary Bypass in Patients With Heterotaxy Syndrome: A Safe but Underutilized Option Frank Edwin, MD, Lawrence Sereboe, MD, Baffoe Gyan, MD The Annals of Thoracic Surgery Volume 95, Issue 1, Pages e3-e5 (January 2013) DOI: 10.1016/j.athoracsur.2012.07.054 Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A) Venoatrial connections in patient 1. (B) Intraoperative view of independent left hepatic vein. (ICV = inferior caval vein; Lt HV = left hepatic vein; SCV = superior caval vein.) The Annals of Thoracic Surgery 2013 95, e3-e5DOI: (10.1016/j.athoracsur.2012.07.054) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Postoperative coronal reformatted computed tomography angiogram images showing venoatrial connections in patient 2. (A) The left superior caval vein (2) and left hepatic vein (4) drained to the right atrium through the coronary sinus (not shown). (1 = right superior caval vein; 2 = left superior caval vein; 3 = right hepatic vein; 4 = left hepatic vein; LA = left atrium; RA = right atrium. (B) A = interrupted inferior caval vein crossing the midline posterior to descending aorta; B = right-sided azygous continuation; C= descending aorta.). The Annals of Thoracic Surgery 2013 95, e3-e5DOI: (10.1016/j.athoracsur.2012.07.054) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Hepatic hemodynamics during temporary left hepatic venous occlusion. (CS = coronary sinus; Lt = left; Rt = right; S = sinusoid.) The Annals of Thoracic Surgery 2013 95, e3-e5DOI: (10.1016/j.athoracsur.2012.07.054) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions