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Case report reveals hypoxemia from hepatic vein-atrial communication in a child post Kawashima surgery, suggesting need for intervention.
The hepatic vein-azygos vein connection is a rare Fontan modification used in patients with single ventricle physiology and interrupted inferior vena cava, following an initial Kawashima procedure. We report an unusual case of severe, late-onset hypoxemia due to recanalization of a hepatic vein-atrial communication after this operation.
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Rajan et al. (2026) studied this question.
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