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Journal of anesthesia · Jun 2015
Case ReportsDetection and diagnosis of iatrogenic inadvertent diversion of partial inferior vena cava into the left atrium by transesophageal echocardiography during large posteroinferior surgical atrial septal defect closure.
- Yanzi Zhang, Haibo Song, Xin Qiao, Xijun Xiao, Jin Liu, and Xiao Wang.
- Department of Anesthesiology, West China Hospital, Sichuan University, Chengdu, 610041, Sichuan, People's Republic of China.
- J Anesth. 2015 Jun 1; 29 (3): 442-445.
AbstractIatrogenic diversion of the inferior vena cava (IVC) into the left atrium (LA) is usually reported as a rare complication following large posteroinferior atrial septal defect (ASD) surgery. It may cause acute or chronic hypoxemia, and other potentially life-threatening complications such as stroke. We present a case in which the ASD patch straddled the IVC entrance diagnosed immediately by transesophageal echocardiography (TEE) during the period of patient separated from cardiopulmonary bypass, avoiding the related complications. Our report further underlines the important role of TEE to monitor and guide ASD surgical management, especially secundum ASD with inferior extension or inferior sinus venosus defects, for the early diagnosis of iatrogenic surgical errors.
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