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- Kaori Matsumura, Takuma Maeda, Akiyuki Kotoku, and Yoshihiko Onishi.
- From the Department of Anesthesiology, Osaka General Medical Center, Osaka, Japan.
- A A Pract. 2024 Jul 1; 18 (7): e01818e01818.
AbstractIatrogenic 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.Copyright © 2024 International Anesthesia Research Society.
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