Staged Kawashima operation with cavopulmonary connection

Abstract

FIGURE 1. A and B, Kawashima completion by direct hemiazygos to left pulmonary artery connection and extracardiac hepatopulmonary connection to the right pulmonary artery completing total cavopulmonary connection. The pulmonary trunk was interrupted. IVC, Inferior vena cava; LSVC, left superior vena cava; RPA, right pulmonary artery; LPA, left pulmonary artery; HEP. VEIN, hepatic vein.

Off-pump hepatic to azygos connection via thoracotomy for relief of fistulas after a Kawashima procedure: Ten-year results

“…6,15 Amodeo and colleagues 24 described a Kawashima operation combined with the direct hepatic to azygos connection. Sathe and colleagues 25 performed a banding of the pulmonary trunk to allow a limited antegrade flow to prevent the development of fistulas. We have to consider that in the setting of patients after the Kawashima operation, the HAS corresponds to the Fontan completion and therefore to the gradual attrition of the circulatory reserve.…”