Download PDF
Thorac Cardiovasc Surg Rep 2016; 05(01): 50-53
DOI: 10.1055/s-0035-1566265
Case Report: Cardiac
Georg Thieme Verlag KG Stuttgart · New York

Late Clinical Presentation of Inferior Vena Cava Deviation into the Left Atrium Following Atrial Septal Defect Repair in the Childhood

Ali El-Sayed Ahmad
1   Division of Thoracic and Cardiovascular Surgery, Johann-Wolfgang-Goethe University, Frankfurt, Germany
,
Peter Kleine
1   Division of Thoracic and Cardiovascular Surgery, Johann-Wolfgang-Goethe University, Frankfurt, Germany
,
Thomas Lehnert
2   Department of Diagnostic and Interventional Radiology, Johann-Wolfgang-Goethe University, Frankfurt, Germany
,
Anton Moritz
1   Division of Thoracic and Cardiovascular Surgery, Johann-Wolfgang-Goethe University, Frankfurt, Germany
› Author Affiliations
Further Information

Publication History

04 July 2014

24 September 2015

Publication Date:
24 November 2015 (online)

Also available at
   Permissions and Reprints

Abstract

A 19-year-old woman underwent ASD closure with patch in the childhood. Fifteen years later, she presented with severe cyanosis and dyspnea on exertion. Clinical diagnostics revealed a dislocation of the patch resulting in a right-to-left shunt (RLS) that was compensated in the past years by a recurrent ASD allowing a left-to-right shunt (LRS). The existing balance between interatrial shunts vanished by the growth of the patient leading to the clinical deterioration. After successful redo surgery, the patient was discharged home 8 days postoperatively.

Keywords

congenital heart disease - reoperation - imaging
 

  • References

  • 1 Meijboom F, Hess J, Szatmari A , et al. Long-term follow-up (9 to 20 years) after surgical closure of atrial septal defect at a young age. Am J Cardiol 1993; 72 (18) 1431-1434
    CrossrefPubMedSearch in Google Scholar
  • 2 Sellers RD, Ferlic RM, Sterns LP, Lillehei CW. Secundum type atrial septal defects: early and late results of surgical repair using extracorporeal circulation in 275 patients. Surgery 1966; 59 (1) 155-164
    PubMedSearch in Google Scholar
  • 3 Desnick SJ, Neal WA, Nicoloff DM, Moller JH. Residual right-to-left shunt following repair of atrial septal defect. Ann Thorac Surg 1976; 21 (4) 291-295
    CrossrefPubMedSearch in Google Scholar
  • 4 Lind J, Wegelius C. Atrial septal defects in children: an angiocardiographic study. Circulation 1953; 7 (6) 819-829
    CrossrefPubMedSearch in Google Scholar