Indications for and results of axillary arterio-venous fistula in patients with a functionally single ventricle after cavopulmonary anastomosis†

Abstract

Axillary arterio-venous fistula can be used as the stage of surgical treatment and a bridge to Fontan and/or heart transplantation for this category of patients.

Superior Cavopulmonary Connection: Its Physiology, Limitations, and Anesthetic Implications

“…87 Additional PBF can also be supplied with an arteriovenous fistula or an aortopulmonary shunt such as a mBT shunt (Figure 2). 80,86 Arteriovenous fistulae (avf) are generally added in the upper extremity [88][89][90][91][92][93][94] or between the internal carotid artery and internal jugular vein. 80,95 Whether these methods of augmenting PBF ultimately improve candidacy for Fontan palliation is debatable.…”

“…75,81,95 There is evidence to support the use of SCPC in conjunction with augmented PBF as a bridge to cardiac transplantation. 90,94,96,97 Recently, the concept of the "Super-Glenn" or contralaterally shunted Glenn has been introduced to address the issues associated with traditional methods of augmenting SCPC PBF (Figure 3). Specifically, the approach of augmenting PBF in a Glenn circulation is modified by restricting the connection (either externally with a band or internally with a fenestrated intraluminal patch) between the shunted lung and the lung supplied by the SVC.…”