Iatrogenic partial diversion of inferior vena cava to left atrium after surgical closure of atrial septal defect.

IF 0.5 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS

ARYA Atherosclerosis Pub Date : 2022-01-01 DOI:10.48305/arya.v18i0.2265

Zahra Khajali, Mohamad Sadra Nazari, Fateme Jorfi, Maryam Keshavarz-Hedayati, Maziar Gholampour-Dehaki

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Abstract

Background: Atrial septal defects (ASDs) are one of the most common congenital cardiac abnormalities. Repair of these defects is a quite secure and routine operation. The most common complications were postoperative atrial arrhythmias, sinus arrhythmia, and atrioventricular (AV) blocks requiring pacemaker implantation, mediastinal bleeding, and transient ischemic attacks (TIAs) or strokes. Iatrogenic diversion of the inferior vena cava (IVC) to the left atrium (LA) during surgical closure of an ASD is a very rare complication.

Case report: We reported a patient who had a history of cardiac surgery in another center at the age of seven and was introduced to our clinic with complaints of dyspnea and cyanosis of extremities on exertion. She underwent surgery in our center with diagnosis of iatrogenic diversion of IVC to LA.

Conclusion: The most common mechanism suggested is a large eustachian valve being mistaken for the inferior rim of the ASD.

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房间隔缺损闭合术后下腔静脉部分分流至左心房的医源性研究。

背景:房间隔缺损是最常见的先天性心脏畸形之一。修复这些缺陷是一种相当安全和常规的操作。最常见的并发症是术后心房心律失常、窦性心律失常、需要植入起搏器的房室(AV)阻滞、纵隔出血、短暂性脑缺血发作(tia)或中风。在ASD手术中，医源性下腔静脉(IVC)向左心房(LA)转移是一种非常罕见的并发症。病例报告:我们报告了一名患者，他在7岁时在另一个中心有心脏手术史，并被介绍到我们的诊所，主诉呼吸困难和运动时四肢发绀。她在我中心接受了手术，诊断为医源性下腔静脉转移到LA。结论:最常见的机制是将大的咽鼓管瓣误认为ASD的下缘。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

ARYA Atherosclerosis CARDIAC & CARDIOVASCULAR SYSTEMS-

CiteScore

1.00

自引率

0.00%

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审稿时长

18 weeks