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Pulmonary and systemic arteriovenous fistulas in patients with left isomerism

Published online by Cambridge University Press:  19 August 2008

Hiroaki Kawata ,
Hidefumi Kishimoto ,
Seiichiro Ikawa ,
Takayoshi Ueno ,
Tohru Nakajima ,
Futoshi Kayatani ,
Noboru Inamura  and
Takeshi Nakada
Hiroaki Kawata*
Affiliation:
Department of Cardiovascular Surgery and Pediatric Cardiology, Osaka Medical Center and Research Institute for Maternal and Child Health, 840 Murodo-cho, Izumi city, Osaka590–02, Japan
Hidefumi Kishimoto
Affiliation:
Department of Cardiovascular Surgery and Pediatric Cardiology, Osaka Medical Center and Research Institute for Maternal and Child Health, 840 Murodo-cho, Izumi city, Osaka590–02, Japan
Seiichiro Ikawa
Affiliation:
Department of Cardiovascular Surgery and Pediatric Cardiology, Osaka Medical Center and Research Institute for Maternal and Child Health, 840 Murodo-cho, Izumi city, Osaka590–02, Japan
Takayoshi Ueno
Affiliation:
Department of Cardiovascular Surgery and Pediatric Cardiology, Osaka Medical Center and Research Institute for Maternal and Child Health, 840 Murodo-cho, Izumi city, Osaka590–02, Japan
Tohru Nakajima
Affiliation:
Department of Cardiovascular Surgery and Pediatric Cardiology, Osaka Medical Center and Research Institute for Maternal and Child Health, 840 Murodo-cho, Izumi city, Osaka590–02, Japan
Futoshi Kayatani
Affiliation:
Department of Cardiovascular Surgery and Pediatric Cardiology, Osaka Medical Center and Research Institute for Maternal and Child Health, 840 Murodo-cho, Izumi city, Osaka590–02, Japan
Noboru Inamura
Affiliation:
Department of Cardiovascular Surgery and Pediatric Cardiology, Osaka Medical Center and Research Institute for Maternal and Child Health, 840 Murodo-cho, Izumi city, Osaka590–02, Japan
Takeshi Nakada
Affiliation:
Department of Cardiovascular Surgery and Pediatric Cardiology, Osaka Medical Center and Research Institute for Maternal and Child Health, 840 Murodo-cho, Izumi city, Osaka590–02, Japan
*
Hiroaki Kawata, M D., Department of Cardiovascular Surgery, Osaka Medical Center and Research Institute for Maternal and Child Health, 840 Murodo-cho, Izumi City, Osaka 590–02, Japan. Tel: 81–725–56–1220; Fax 81–725–56–5682
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Abstract

Abstract Hepatic venous blood has been thought to play some role as a vasoactive agent in the development of pulmonary arteriovenous fistulas in patients with congenital heart disease. During the last 15 years, we have observed pulmonary arteriovenous fistulas in 3, and systemic arteriovenous fistulas in 2, patients from our 16 cases of left isomerism. During the same period, neither pulmonary nor systemic arteriovenous fistulas were detected among 50 patients with right isomerism. Pulmonary arteriovenous fistulas had developed in the absence of surgery in 1 of the patients. Both pulmonary and systemic fistulas were detected in an another patient, in whom the hepatic venous blood bypassed the pulmonary circulation. The level of somatostatin, which is known to reduce splanchnic blood flow, was high in the systemic venous blood of this patient. Although the mechanism of development of the fistulas has yet to be clarified, we should be aware that not only pulmonary, but also systemic arteriovenous fistulas can be found in patients with left isomerism, even prior to any surgical intervention.

Keywords

pulmonary arteriovenous fistulasystemic arteriovenous fistulaleft isomerism
Type
Original Articles
Information
Cardiology in the Young , Volume 8 , Issue 3 , July 1998 , pp. 290 - 294
Copyright
Copyright © Cambridge University Press 1998

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References

1.Cloutier, A, Ash, JM, Smallhorn, JF, Williams, WG, Trusler, GA, Rowe, RD, Rabinovitch, M. Abnormal distribution of pulmonary blood flow after the Glenn shunt or Fontan procedure: risk of development of arteriovenous fistulae. Cucluation 1985; 72: 471–479.CrossRefGoogle ScholarPubMed
2.Moore, JW, Kibry, WC, Madden, WA, Gaiter, NS. Development of pulmonary arteriovenous malformation after modified Fontan operation. J Thorac Cardiovasc Surg 1989; 98: 1045–1050.CrossRefGoogle Scholar
3.Papagiannis, J, Kanter, RJ, Effman, EL, Prattc, PC, Marcille, R, Browning, IB, Armstrong, BE. Pplytsplenia with pulmonary arteriovenous malformations. Pediatr Cardiol 1993; 14: 127–129CrossRefGoogle ScholarPubMed
4.Knight, WB, Mee, RBB. A cure for pulmonary arteriovenous fistulas?. Ann Thorac Surg 1995; 59. 999–1001.CrossRefGoogle ScholarPubMed
5.Laks, H, Mudd, JG, Standeven, JW, Tagan, L, Wilman, VL. Long term effect of the superior vena cava–pulmonary artery anastomosis on pulmonary blood flow. J Thorac Cardiovasc Surg 1979; 74: 253/258.CrossRefGoogle Scholar
6.Stnvastava, D, Preminger, T, Lock, JE, Mandell, V, Keane, JF, Mayer, JE, Kozakewich, H, Spevak, PJ. Hepatic venous blood and the development of pulmonary arteriovenous malformations in congenital heart disease. Circulation 1995; 92: 1217–1222.CrossRefGoogle Scholar
7.Brandt, PWT, Clarkson, PM, Neutze, JM, Batratt-Boyes, BG. Left ventricular cineangiocardiography in endocardial cushion defect: persistent common atnoventncular canal. Australas Radiol 1972; 16: 367–376.CrossRefGoogle ScholarPubMed
8.Krowka, MJ, Cortese, DA. Hepatopulmonary syndrome: an evolving perspective in the era of liver transplantation. Hepatology 1990, 11: 138–142.CrossRefGoogle ScholarPubMed
9.Amodeo, A, Di Donato, R, Carotti, A, Marino, B, Marcelletti, C. Pulmonary arteriovenous fistulas and polysplenia syndrome. J Thorac Cardiovasc Surg 1994; 107: 1378–1379.CrossRefGoogle ScholarPubMed
10.Fewtrell, MS, Noble-Jamieson, G, Revell, S, Valente, J, Friend, P, Johnston, P, Rasmussen, A, Jamieson, N, Calne, RY, Barnes, ND. Intrapulmonary shunting in the biliary attesia/polysplenia syndrome: reversal after liver transplantation. Arch Dis Child 1994; 70: 501–504.CrossRefGoogle ScholarPubMed
11.Barbe, T, Lasay, J, Gnmon, G, Devictor, D, Sardet, A, Gauthier, F, Houssin, D, Bernard, O. Pulmonary arteriovenous shunting in children with liver disease. J Pediatr 1995; 126: 571–579.CrossRefGoogle ScholarPubMed
12.Jonas, RA. Invited letter concerning: The importance of pulsatile flow when systemic venous return is connected directly to the pulmonary arteries. J Thorac Cardiovasc Surg 1993; 105: 173–188.CrossRefGoogle Scholar
13.Konturek, SJ, Krol, R, Pawlik, W. Pharmacology of somatostatin. In: Bloom, SR (ed). Gut Hormones Churchill Livingston, New Yotk, 1978, pp 457—462.Google Scholar