Abstract
Cases involving small infants undergoing the Kawashima operation for left atrial isomerism, single ventricle, and azygos continuation of the inferior vena cava are rare and challenging because of the risk associated with this particular circulation, which is similar to a total cavopulmonary shunt, except for the hepatic flow. Taking into account the recent encouraging report from Hannan and associates, we decided to perform a modified fenestrated Kawashima operation, preserving a limited antegrade flow, in a 51⁄2-month-old infant with severe cyanosis caused by progressive pulmonary stenosis.
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