World Library  
Flag as Inappropriate
Email this Article

Kawashima procedure

Article Id: WHEBN0015017704
Reproduction Date:

Title: Kawashima procedure  
Author: World Heritage Encyclopedia
Language: English
Subject: Cardiac surgery, Interventional cardiology, Blalock–Hanlon procedure, Sano shunt, Cardiotomy
Collection: Cardiac Surgery, Congenital Heart Disease
Publisher: World Heritage Encyclopedia

Kawashima procedure

Kawashima procedure

The Kawashima procedure is used for congenital heart disease with a single effective ventricle and an interrupted inferior vena cava (IVC). It was first performed in 1978 and reported in 1984.[1]


Technically it is very similar to the Bidirectional Glenn procedure used to direct half the body's venous blood flow into the lungs. However, in patients with interrupted IVC, most of the blood from the lower body actually joins the blood from the upper body before returning to the heart via the superior vena cava (SVC). Therefore, the redirection of SVC blood to the lungs (as in the Glenn) results in much more than half the venous blood flow being diverted.

After Kawashima, the only de-oxygenated blood returning to the heart is from the abdominal organs (via the hepatic veins)). As a result, there is much less hypoxia than after Glenn, and the heart is pumping less additional blood than after Glenn. However, the hypoxia can worsen over time (because of the development of microscopic AVMs in the lungs that allow blood to pass through without being oxygenated[2]), and therefore these children still may need a complete Fontan procedure in the end.[3][4]


  1. ^
  2. ^
  3. ^
  4. ^

This article was sourced from Creative Commons Attribution-ShareAlike License; additional terms may apply. World Heritage Encyclopedia content is assembled from numerous content providers, Open Access Publishing, and in compliance with The Fair Access to Science and Technology Research Act (FASTR), Wikimedia Foundation, Inc., Public Library of Science, The Encyclopedia of Life, Open Book Publishers (OBP), PubMed, U.S. National Library of Medicine, National Center for Biotechnology Information, U.S. National Library of Medicine, National Institutes of Health (NIH), U.S. Department of Health & Human Services, and, which sources content from all federal, state, local, tribal, and territorial government publication portals (.gov, .mil, .edu). Funding for and content contributors is made possible from the U.S. Congress, E-Government Act of 2002.
Crowd sourced content that is contributed to World Heritage Encyclopedia is peer reviewed and edited by our editorial staff to ensure quality scholarly research articles.
By using this site, you agree to the Terms of Use and Privacy Policy. World Heritage Encyclopedia™ is a registered trademark of the World Public Library Association, a non-profit organization.

Copyright © World Library Foundation. All rights reserved. eBooks from Project Gutenberg are sponsored by the World Library Foundation,
a 501c(4) Member's Support Non-Profit Organization, and is NOT affiliated with any governmental agency or department.