Surgical repair was performed by reconstructing the opening of the IVC and redirecting it into the right atrium.
📌 3 Key Takeaways
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Objective & Hypothesis:Diversion of inferior vena cava (IVC) into left atrium (LA) is one of the rare complications of the surgical repair of the atrial septal defect (ASD).
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Key Findings & Data:A 30-year-old male patient who had undergone surgical repair of the ASD 9 years ago was referred to our clinic because of diversion of the IVC into the LA.
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Conclusion & Impact:Surgical repair was performed by reconstructing the opening of the IVC and redirecting it into the right atrium.
Diversion of inferior vena cava (IVC) into left atrium (LA) is one of the rare complications of the surgical repair of the atrial septal defect (ASD). A 30-year-old male patient who had undergone surgical repair of the ASD 9 years ago was referred to our clinic because of diversion of the IVC into the LA. Surgical repair was performed by reconstructing the opening of the IVC and redirecting it into the right atrium.
Özet
Vena kava inferiorun sol atriyuma dükülmesi atriyel septal defektin cerrahi kapatılmasının nadir görülen cerrahi komplikasyonlardan biridir. Bu olguda 30 yaşındaki erkek hastanın geçirmiş olduğu atrial septal defektin cerrahi onarımından 9 yıl sonra vena kava inferiorun sol atriyuma dökülmesinin tespiti ve cerrahi onarımı sunulmuştur.
HİJAZİ, A., ÇİÇEKÇİOĞLU, H., EROL, E., YILMAZKAYA, B., ÇİÇEKÇİOĞLU, F. (2017). Diversion of the Inferior Vena Cava Into the Left Atrium After Surgical Repair of Atrial Septal Defect. Koşuyolu Heart Journal, Cilt: 20 - Sayı: 2, 157–158. https://ajindex.com/articles/91006
Murphy JG, Gersh BJ, McGoon, MD, Porter CJ, Ilstrup DM, McGoon DC, et al. Long-term outcome after surgical repair of isolated atrial septal defect. Follow-up at 27 to 32 years. N Engl J Med 1990; 323:1645-50
Staple TW, Ferguson TB, Parker BM. Diversion of the inferior vena cava into the left atrium following atrial septal defect closure. Am J Roentgenol Radium Ther Nucl Med 1966;98:8518
Alanbaei M, Jutras L, Therrien J, Marelli A. Iatrogenic cyanosis and clubbing: 25 years of chronic hypoxia after the repair of an atrial septal defect. Can J Cardiol 2007;23:901-3
Thompson E, Moritz D, Perdue R, Cansino S. Diversion of the inferior vena cava following repair of atrial septal defect causing hypoxemia. Echocardiography 2004;21:329-32.