Kawashima procedure

Kawashima procedure is a palliative surgical procedure performed in cases of:

  • left isomerism and azygos continuation of the inferior vena cava
  • single functional ventricle
  • single atrium and common atrioventricular valve with or without regurgitation
  • pulmonary stenosis

It is performed by creation of a cavopulmonary anastomosis between superior vena cava and the pulmonary artery. However, many patients can develop progressive cyanosis likely attributed to the development of multiple microscopic pulmonary arteriovenous malformations. A recent study suggests that this cyanosis will resolve following surgical redirection of hepatic veins into the cavopulmonary circulation (total right heart bypass operation).

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Article information

rID: 44990
System: Cardiac, Vascular
Synonyms or Alternate Spellings:
  • Kawashimas procedure

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