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Mitsuru Aoki
Tadashi Fujiwara
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J Thorac Cardiovasc Surg 2008;136:519-520
© 2008 The American Association for Thoracic Surgery

Brief Communication

Thrombus formation within hepatic vein after Fontan procedure

Manabu Watanabe, MD*, Mitsuru Aoki, MD, PhD, Nobuyuki Ishibashi, MD, Tadashi Fujiwara, MD, PhD

Unit of Cardiovascular Surgery, Chiba Children's Hospital, Chiba City, Japan

Received for publication September 20, 2006; accepted for publication September 25, 2006.

* Address for reprints: Manabu Watanabe, MD, Unit of Cardiovascular Surgery, Hokkaido Children's Medical Center, 1-10-1, Zenibako, Otaru, Hokkaido, Japan. (Email: dookuman@beige.ocn.ne.jp).

The first 20% of the full text of this article appears below.

Thrombus formation is an important complication after Fontan procedure.1Go Although thrombus formation is commonly seen either in the systemic venous pathway or in the pulmonary venous pathway, to the best of our knowledge there have been no reports of thrombus formation within the hepatic vein. Here we present two cases of unusual intrahepatic thrombus formation after the Fontan procedure.

Clinical Summaries

PATIENT 1. A 4-year-old girl was being followed up at our hospital for the diagnosis of pulmonary atresia with intact ventricular septum. She had undergone a bidirectional cavopulmonary shunt at the age of 3 years. In September 2004, she underwent a Fontan procedure. The procedure consisted of anastomosis between the proximal stump of the superior vena cava (SVC) and the pulmonary artery and creation of lateral tunnel from the inferior vena cava (IVC) to the orifice of the SVC. A tunnel of sufficient caliber was created with in situ atrial free wall. Postoperative echocardiography showed . . . [Full Text of this Article]






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