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Off-pump hepatic to azygos connection via thoracotomy for relief of fistulas after a Kawashima procedure: Ten-year results  Sara C. Arrigoni, MD, Freek.

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Presentation on theme: "Off-pump hepatic to azygos connection via thoracotomy for relief of fistulas after a Kawashima procedure: Ten-year results  Sara C. Arrigoni, MD, Freek."— Presentation transcript:

1 Off-pump hepatic to azygos connection via thoracotomy for relief of fistulas after a Kawashima procedure: Ten-year results  Sara C. Arrigoni, MD, Freek van den Heuvel, MD, PhD, Tineke P. Willems, MD, PhD, Hans Hillege, MD, PhD, Harald L. Lindberg, MD, PhD, Rolf M.F. Berger, MD, PhD, Tjark Ebels, MD, PhD  The Journal of Thoracic and Cardiovascular Surgery  Volume 149, Issue 6, Pages (June 2015) DOI: /j.jtcvs Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions

2 Figure 1 Intraoperative exposition of the hepatic veins and azygos vein through a lateral thoracotomy. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions

3 Figure 2 Time interval between Kawashima operation and HAS related to patients' age. HAS, Hepatic to azygos shunt. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions

4 Figure 3 Kaplan–Meier curve. Cumulative freedom from HAS reoperation after Kawashima operation. CI, Confidence interval; HAS, hepatic to azygos shunt. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions

5 Figure 4 Arterial oxygen saturation recorded immediately after Kawashima operation and before and after HAS per patient. Art Sat O2, Arterial oxygen saturation; HAS, hepatic to azygos shunt. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions

6 Figure 5 Patients' NYHA class before and after HAS. NYHA, New York Heart Association. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions

7 HAS via lateral thoracotomy.
The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions


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