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      Iatrogenic diversion of IVC to left atrium after surgical closure of ASD

      case-report

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          Abstract

          Iatrogenic diversion of the inferior vena cava (IVC) to the left atrium during surgical closure of an atrial septal defect (ASD) is a very rare complication in the era of cardiopulmonary bypass. The eustachian valve could be mistaken for the margin of the ASD. We report a case with this complication after closure of a sinus venosus ASD of the IVC type.

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          Iatrogenic cyanosis and clubbing: 25 years of chronic hypoxia after the repair of an atrial septal defect.

          Judith Therrien, Ariane J Marelli, Muath Alanbaei … (2007)
          A case of sinus venosus atrial septal defect repair of the inferior vena caval type with an unintentional diversion of the inferior vena caval blood to the left atrium is reported. Long-standing, anatomical, right-to-left shunting with cyanosis and hypoxia are associated with systemic and cerebrovascular complications. Cardiac risks depend on the presence or absence of pulmonary hypertension, the associated hematological abnormalities and the degree of anatomical, right-to-left shunting. Cardiac magnetic resonance imaging clarified the etiology of the unexplained cyanosis and delineated the surgical anatomy.
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            Residual right-to-left shunt following repair of atrial septal defect.

            Doss Neal, J Möller, A Nicoloff … (1976)
            Information about 5 patients with residual right-to-left shunts following repair of an atrial septal defect is presented. In each patient the defect was located low in the atrial septum adjacent to the inferior vena cava. During operation, either the eustachian valve of the inferior vena cava had been mistaken for the lower margin of the defect or the lower portion of the defect was not closed; blood flow was then diverted from the inferior vena cava into the left atrium. To prevent this occurrence, the inferior margin of the atrial septal defect should be closed first.
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              The operation and management of a case after diversion of the inferior vena into the left atrium after the open repair of an atrial septal defect.

              O Norlander, O Björk, B Nordenström … (1958)
              Article 0 comments Cited 8 times – based on 0 reviews     Review now
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                Author and article information

                Journal
                Journal ID (nlm-ta): Ann Pediatr Cardiol
                Journal ID (iso-abbrev): Ann Pediatr Cardiol
                Journal ID (publisher-id): APC
                Title: Annals of Pediatric Cardiology
                Publisher: Medknow Publications & Media Pvt Ltd (India )
                ISSN (Print): 0974-2069
                ISSN (Electronic): 0974-5149
                Publication date (Print): Jan-Jun 2012
                Volume: 5
                Issue: 1
                Pages: 72-74
                Affiliations
                [1]Glenmark Cardiac Centre, Mumbai, India
                Author notes
                Address for correspondence: Dr. Bharat Dalvi, Glenmark Cardiac Centre, Nandadeep, 209-D, Dr. B.R. Ambedkar Road, Matunga (East), Mumbai - 400 019, India. E-mail: bharatdalvi@ 123456hotmail.com
                Article
                Publisher ID: APC-5-72
                DOI: 10.4103/0974-2069.93716
                PMC ID: 3327021
                PubMed ID: 22529607
                SO-VID: 9571ce02-78e3-4246-b310-928df23fd84c
                Copyright © Copyright: © Annals of Pediatric Cardiology
                License:

                This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Categories
                Subject: Case Report

                ScienceOpen disciplines: Cardiovascular Medicine
                Keywords: eustachian valve,inferior vena cava,surgical asd closure,left atrium,atrial septal defect
                Data availability:
                ScienceOpen disciplines: Cardiovascular Medicine
                Keywords: eustachian valve, inferior vena cava, surgical asd closure, left atrium, atrial septal defect

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