Iatrogenic cyanosis in children, a pitfall of atrial septal defect repair

H. Mottaghi, M. Kahrom
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Abstract

AbstractToday surgical repair of the atrial septal defect (ASD) is considered as relatively a simple and safe procedure with minor to no morbidity and mortality. When a complication occurs after ASD repair, is associated with considerable morbidity and mortality, which is much higher than primary surgical procedure. We report two patients that underwent ASD repair with caval inflow occlusion without CPB with late presentations of iatrogenic diversion of IVC to LA and subsequent complications of right to left shunting.
儿童医源性紫绀,房间隔缺损修复的一个陷阱
摘要目前,房间隔缺损的外科修复被认为是一种相对简单和安全的手术,其发病率和死亡率很少甚至没有。当ASD修复后出现并发症时,与相当高的发病率和死亡率相关,远高于初级外科手术。我们报告了两例接受ASD修复的无CPB的腔静脉流入阻塞患者,其晚期表现为医源性下腔静脉转移至左腔静脉,随后出现右至左分流的并发症。
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