Hostname: page-component-cd9895bd7-p9bg8 Total loading time: 0 Render date: 2024-12-18T20:55:57.939Z Has data issue: false hasContentIssue false
  • English
  • Français

Persistence of the hepatic venous plexus with underdevelopment of the inferior caval vein: implications in the management of complex congenital heart disease

Published online by Cambridge University Press:  19 August 2008

Gordon Gladman ,
Ian Adatia  and
Robert M. Freedom
Gordon Gladman
Affiliation:
Division of Cardiology, The Hospital for Sick Children, Tronto, Canada
Ian Adatia*
Affiliation:
Division of Cardiology, The Hospital for Sick Children, Tronto, Canada
Robert M. Freedom
Affiliation:
Division of Cardiology, The Hospital for Sick Children, Tronto, Canada
*
Dr. Ian Adatia, Division of Cardiology, The Hospital for Sick Children, 555, University Avenue, Toronto, Canada, M5G 1X8. Tel: 416-813-6140, Fax. 416-813-7547
Get access Rights & Permissions [Opens in a new window]

Summary

We report two cases with persistence of the hepatic venous complex, underdevelopment of the inferior caval vein and azygos continuation to the superior caval vein. We suggest that the hepatic venous complex is a true congenital malformation rather than the result of passive enlargement of venous channels subsequent to high venous pressures. Preoperative diagnosis is important in patients with complex congenital heart disease undergoing palliative venous redirection procedures if a postoperative right-to-left shunt and cyanosis are to be avoided.

Keywords

Systemic venous anomalieshepatic venous plexusazygos continuation
Type
Brief Reports
Information
Cardiology in the Young , Volume 8 , Issue 2 , April 1998 , pp. 243 - 246
Copyright
Copyright © Cambridge University Press 1998

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Jolly, N, Kumar, P, Arora, R.Persistence of hepatic venous plexus as the terminal part of inferior caval vein. Int. J. Cardiol.. 1991; 31: 110CrossRefGoogle ScholarPubMed
2.Kawashima, Y, Kitamura, S, Matsuda, H, Shimazaki, Y, Nakano, S, Hirose, H.Total cavopulmonary shunt operation in complex cardiac anomalies. J Thorac Cardiovasc Surg. 1984; 87:74–81.CrossRefGoogle ScholarPubMed
3.Freedom, RM, Benson, LN, Smalihorn, JS.Neonatal heart disease. Springer-Verlag, London 1992: 490.CrossRefGoogle Scholar
4.Schneeweiss, A, Bleiden, LC, Deutsch, V, Shem-Tov, A, Neufeld, HN.Uninterrupted inferior vena cava with azygos continuation. Chest. 1981; 80: 114–115.CrossRefGoogle ScholarPubMed
5.Guenthard, J, Carvalho, JS, Anderson, RH, Rigby, ML.Hepatic venous connection to a persistent inferior caval vein in left isomerism. Eur Heart J. 1990; 11: 845–847.CrossRefGoogle ScholarPubMed
6.Gatzoulis, MA, Shinebourne, EA, Redington, AN, Rigby, ML, Ho, SY, Shore, DF.Increasing cyanosis early after cavopulmonary connection caused by abnormal systemic venous channels. Br Hearr J. 1995; 73: 182–186.CrossRefGoogle ScholarPubMed
7.Reed, MK, Leonard, SR, Zellers, TM, Nikaidoh, H.Major intrahepatic venovenous fistulas after a modified Fontan operation. Ann Thorac Surg 1996; 61: 713–715.CrossRefGoogle ScholarPubMed
8.Rao, IM, Swanson, JS, Hovaguimian, H, Mclrvin, DM, King, DH, Furnary, AP, Livermore, J, Starr, A.Intrahepatic steal after Fontan operation with partial hepatic exclusion. J Thorac Cardiovasc Surg 1995; 109: 180–181.CrossRefGoogle ScholarPubMed
9.Stumper, O, Wright, JGC, Sadiq, M, Giovanni, de JV.Late systemic desaturation after total cavopulmonary shunt operations. Br Heart J 1995; 74: 282–286.CrossRefGoogle ScholarPubMed
10.Slavik, Z, Lamb, RK, Webber, SA, Delaney, DJ, Salmon, AP.A rare cause of profound cyanosis after Kawashima modification of bidirectional cavopulmonary anastomosis. Ann Thorac Surg 1995; 60: 435–437.CrossRefGoogle ScholarPubMed