Regression of severe pulmonary arteriovenous malformations after Fontan revision and “hepatic factor” rerouting Nancy A Pike, RN, FNP, Luca A Vricella,

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Presentation transcript:

Regression of severe pulmonary arteriovenous malformations after Fontan revision and “hepatic factor” rerouting Nancy A Pike, RN, FNP, Luca A Vricella, MD, Jeffrey A Feinstein, MD, Michael D Black, MD, Bruce A Reitz, MD The Annals of Thoracic Surgery Volume 78, Issue 2, Pages 697-699 (August 2004) DOI: 10.1016/j.athoracsur.2004.02.003

Fig 1 Anterior view of nonfenestrated extracardiac Fontan connecting the hepatic veins to the right pulmonary artery. The Annals of Thoracic Surgery 2004 78, 697-699DOI: (10.1016/j.athoracsur.2004.02.003)

Fig 2 Anterior view of the extracardiac conduit divided and oversewn. The graft extension is sutured between the conduit stump and the hemiazygous vein. The hepatic veins are rerouted into the hemiazygous vein. The Annals of Thoracic Surgery 2004 78, 697-699DOI: (10.1016/j.athoracsur.2004.02.003)

Fig 3 Preoperative angiographic anterior view of right- and left-sided pulmonary arteriovenous malformations. The Annals of Thoracic Surgery 2004 78, 697-699DOI: (10.1016/j.athoracsur.2004.02.003)

Fig 4 Postoperative angiographic anterior view of regression of right and left-sided pulmonary arteriovenous malformations. The Annals of Thoracic Surgery 2004 78, 697-699DOI: (10.1016/j.athoracsur.2004.02.003)