| Diversion of the inferior vena cava following repair of atrial septal defect causing hypoxemia. | |
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MedLine Citation:
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PMID: 15104546 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Atrial septal defects (ASDs) are a common congenital abnormality, and operative repair is a routine, safe procedure. Diversion of the inferior vena cava (IVC) into the left atrium is an unusual complication following ASD closure. We report a case that illustrates the problem created by this right-to-left shunt. A middle-aged woman underwent ASD repair. She developed hypoxemia postoperatively. A transthoracic echocardiogram confirmed a right-to-left shunt, found only with agitated saline injected into the femoral vein, not into the basilic vein. Surgical reexploration revealed a residual ASD diverting IVC flow into the left atrium, which was repaired with a pericardial patch. Echocardiography with agitated saline injected from the femoral vein is an easy method to diagnose this uncommon complication. |
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Authors:
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Ellen Thompson; Dennis Moritz; Romaine Perdue; Silvestre Cansino |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Echocardiography (Mount Kisco, N.Y.) Volume: 21 ISSN: 0742-2822 ISO Abbreviation: Echocardiography Publication Date: 2004 May |
Date Detail:
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Created Date: 2004-04-23 Completed Date: 2004-11-06 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 8511187 Medline TA: Echocardiography Country: United States |
Other Details:
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Languages: eng Pagination: 329-32 Citation Subset: IM |
Affiliation:
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Department of Cardiovascular Services, Marshall University School of Medicine, Huntington, West Virginia 25702, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Anoxia / etiology*, ultrasonography Echocardiography Echocardiography, Transesophageal Female Heart Septal Defects, Atrial / surgery*, ultrasonography Humans Postoperative Complications / etiology*, ultrasonography Respiratory Distress Syndrome, Adult / etiology, ultrasonography Vena Cava, Inferior / pathology*, ultrasonography |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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