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Fig. 3 | Surgical Case Reports

Fig. 3

From: A patient with post-Fontan operation underwent left hepatectomy and caudate lobectomy for hepatocellular carcinoma: a case report

Fig. 3

The liver is cirrhosis due to congestion (a). After, left hepatectomy and caudate lobectomy were shown (b). We tried half-clamping of the inferior vena cava (IVC) below the liver. However, systemic blood pressure decreased below 80 mmHg. Therefore, we avoided IVC clamp and underwent to the reverse Trendelenburg position (rTP). This procedure reduced CVP from 12 to 10 mmHg without a decrease in the systemic blood pressure (c)

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