Diversion of the Inferior Vena Cava Into the Left Atrium After Surgical Repair of Atrial Septal Defect

2017 ◽  
Vol 20 (2) ◽  
pp. 157-158
Author(s):  
Alaa Hijazi ◽  
Hülya Çiçekçioğlu ◽  
Emir Erol ◽  
Bayram Yılmazkaya ◽  
Ferit Çiçekçioğlu
Keyword(s):  
Inferior Vena Cava ◽  
Atrial Septal Defect ◽  
Left Atrium ◽  
Septal Defect ◽  
Inferior Vena ◽  
Surgical Repair ◽  
Vena Cava

scholarly journals 1108 Inferior vena cava diversion into the left atrium after surgical repair of atrial septal defect: a rare case of chronic hypoxemia

2020 ◽  
Vol 21 (Supplement_1) ◽  
Author(s):  
V Vidal Urrutia ◽  
P Garcia Gonzalez ◽  
J L Perez Bosca ◽  
G Juan Samper ◽  
A Cubillos Arango ◽  
...  
Keyword(s):  
Inferior Vena Cava ◽  
Atrial Septal Defect ◽  
Left Atrium ◽  
Septal Defect ◽  
Inferior Vena ◽  
Surgical Repair ◽  
Vena Cava ◽  
Lower Limbs ◽  
Residual Shunt ◽  
Surgical Closure

Abstract Abnormal inferior vena cava (IVC) drainage into the left atrium (LA) is an infrequent complication after surgical closure of an atrial septal defect (ASD). We present the case of a 45-year-old woman, with surgical closure of an ASD 8 years before, who consulted for exertional dyspnea and cyanosis. Transthoracic and transesophageal echocardiography showed no residual shunt after contrast administration in both arms, and thoracic CT scan and pulmonary ventilation / perfusion gammagraphy were normal. In the presence of signs strongly suggesting a right-to-left shunt, we decided to complete the study with a CMR,which revealed an anomalous systemic drainage with IVC draining into the LA with right-to-left shunt. Surgical repair of the abnormal IVC drainage was successfully performed. During the intervention cardiac surgeons found a repaired ASD located in the lower portion of the interatrial septum, a large Eustachian valve, which are anatomical features which can sometimes lead to an erroneous suture causing the drainage of the IVC towards the LA. In conclusion, it is essential to carry out an extensive search for possible residual anatomical shunts in patients who undergo surgery and develop hypoxia. The reported case underlines the importance of being aware of this possible complication of the closure of an ASD and highlights that the absence of passage of agitated saline contrast to left chambers with conventional injection by the arms does not rule out any residual shunt, recommending its administration by the lower limbs, as well as the CMR for the definitive diagnosis. Abstract 1108 Figure. CMR imaging 3D reconstruction

scholarly journals IATROGENIC DIVERSION OF INFERIOR VENA CAVA TO LEFT ATRIUM AFTER SURGICAL CLOSURE OF ATRIAL SEPTAL DEFECT

2017 ◽  
Vol 69 (11) ◽  
pp. 2208
Author(s):  
Aditi Singhvi ◽  
Arun Agarwal ◽  
Jonathan Hammond ◽  
Immad Sadiq ◽  
Shailendra Upadhyay ◽  
...  
Keyword(s):  
Inferior Vena Cava ◽  
Atrial Septal Defect ◽  
Left Atrium ◽  
Septal Defect ◽  
Inferior Vena ◽  
Vena Cava ◽  
Surgical Closure

scholarly journals Atrial septal defect closure complicated by anomalous inferior vena cava return to the left atrium: a case report of a 5-year-old child

2019 ◽  
Vol 3 (2) ◽  
Author(s):  
Christelle Tayeh ◽  
Maya El Khoury ◽  
Fadi Bitar ◽  
Mariam Arabi
Keyword(s):  
Inferior Vena Cava ◽  
Atrial Septal Defect ◽  
Left Atrium ◽  
Septal Defect ◽  
Inferior Vena ◽  
Case Reports ◽  
Vena Cava ◽  
Sinus Venosus ◽  
Inferior Vena Caval ◽  
Surgical Closure

AbstractBackgroundThe anatomy of the sinus venosus atrial septal defect (ASD) of the inferior vena caval type is complex. Limited rate of complications during its closure has been described. One of the unusual complications, with few case reports, is the iatrogenic diversion of the inferior vena cava (IVC) to the left atrium (LA).Case summary We report the case of a 5-year-old boy who underwent previous surgical closure of sinus venosus ASD of the inferior vena caval type aged 2 years. Three years after surgery, he was diagnosed as having iatrogenic diversion of the IVC to the LA.Discussion Cardiologists and cardiac surgeons should be aware of this rare but significant complication following routine ASD surgical repair and vigilant follow-up should be performed routinely.

Inferior Vena Cava to Left Atrium Shunt Presenting with Polycythemia and Stroke Three Decades Following Closure of Atrial Septal Defect

2012 ◽  
Vol 8 (4) ◽  
pp. E102-E105 ◽  
Author(s):  
Manan Desai ◽  
Sachin Talwar ◽  
Shyam Sunder Kothari ◽  
Priya Jagia ◽  
Balram Airan
Keyword(s):  
Inferior Vena Cava ◽  
Atrial Septal Defect ◽  
Left Atrium ◽  
Septal Defect ◽  
Inferior Vena ◽  
Vena Cava
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