Cianosis después del cierre quirúrgico de una comunicación interauricular
(2018) Cirugía Cardiovascular — Vol. 25, n° 5, p. 239-241 (2018)
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- Abstract
- The closure at the right time of the atrial septal defect (ASD) type fossa ovalis, or ostium secundum, guarantees a normal life and the surgical risk tends to be zero. But there is a variety of these congenital malformations that can lead to surgical errors that, although rare, continue to be repeated since the beginning of cardiac surgery. These are large ASD with incomplete limbus that extend to the entrance of the inferior vena cava and coincide with a large Eustachian valve. In these cases, an inadvertent deviation of the inferior vena cava towards the left atrium can be produced by erroneously suturing the edges of the limbus to the Eustachian valve. The case is presented of 7 year-old boy, operated 2 years before due to an ASD, who had cyanosis and dyspnoea on exertion, as well as a description of the surgical treatment performed for correction. To prevent this complication, it is important to pay attention to the anatomy and begin the closure of the ASDs from its inferior margin.
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Citations
Martín-Trenor, A., Mastrobuoni, S., Dell’Aquila, A. M., & Martín-Izquierdo, M. (2018). Cianosis después del cierre quirúrgico de una comunicación interauricular. Cirugía Cardiovascular, 25(5), 239-241. https://doi.org/10.1016/j.circv.2018.05.004 (Original work published 2018)