Usefulness of Transesophageal Echocardiography in Diagnosing the Cause of Circulatory Collapse During Reoperation for an Inferior Vena Cava-Left Atrium Shunt After Atrial Septal Defect Closure: A Case Report

被引：0
|
作者：
Matsumura, Kaori [1 ]
Maeda, Takuma [2 ]
Kotoku, Akiyuki [3 ]
Onishi, Yoshihiko [4 ]
机构：
[1] Osaka Gen Med Ctr, Dept Anesthesiol, 3-1-56 Bandai Higashi,Sumiyoshi Ku, Osaka 5588558, Japan
[2] Natl Cerebral & Cardiovasc Ctr, Dept Anesthesiol, Osaka, Japan
[3] Natl Cerebral & Cardiovasc Ctr, Dept Radiol, Osaka, Japan
[4] Sakakibara Heart Inst Okayama, Dept Anesthesiol, Okayama, Japan
来源：
A & A PRACTICE | 2024年 / 18卷 / 07期
关键词：
STENOSIS;
D O I：
10.1213/XAA.0000000000001818
中图分类号：
R614 [麻醉学];
学科分类号：
100217 ;
摘要：
Iatrogenic inferior vena cava (IVC)-left atrium (LA) shunt is a rare complication in atrial septal defect (ASD) surgery, caused by mistaking the Eustachian valve for the lower margin of the ASD. In this report, we describe the case of a 45-year-old woman who experienced circulatory collapse at termination of cardiopulmonary bypass during surgical IVC-LA shunt repair. Transesophageal echocardiography helped identify stenosis between the IVC and the right atrium, caused by a residual original incorrectly placed ASD patch. Removal of most of the patch led to improvement in circulatory failure.
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