Balanced Hepatic Venous Flow with Hepatic to Azygos Vein Shunt Following the Kawashima Procedure
HVAZ was associated with more balanced HV flow than HVPA, including patients with bilateral SVCs. Long-term outcomes such as oxygen saturation were comparable, suggesting that HVAZ may represent a physiologically advantageous option for Fontan completion in patients with complex venous anatomy.
Authors
- Toshihide Asou (ORCID: https://orcid.org/0000-0002-5358-9715)
- Tsuyoshi Tachibana
- Yuchen Cao (ORCID: https://orcid.org/0000-0002-7495-3694)
- Norihiko Shiiya
- Kazuma Okamoto
Institutions
- Hamamatsu University School of Medicine (JP)
- Hakodate University (JP)
- Kanagawa Children's Medical Center (JP)
Publication Details
- Journal
- World Journal for Pediatric and Congenital Heart Surgery
- Published
- 2026-04-15
- DOI
- https://doi.org/10.1177/21501351261432634
- Primary Topic
- Congenital Heart Disease Studies
- Type
- article
- Field-Weighted Citation Impact
- 0.00