title: Iatrogenic clubbing of the fingers.
abstract: We report on a 39-year-old female who had been operated on for an atrial septal defect at the age of 14 years. On operation the inferior vena cava was iatrogenically misdirected into the left atrium. The cyanotic patient, in functional group IV of the NYHA classification, with polyglobulia and clubbing of the fingers was successfully reoperated after 25 years.
authors.affiliation: Department of Cardiac Surgery, University Hospital, Hradec Králové, Czech Republic.
authors.forename: J
authors.initials: J
authors.lastname: Dominik
authors.forename: P
authors.initials: P
authors.lastname: Kunes
authors.forename: J
authors.initials: J
authors.lastname: Sistek
authors.forename: J
authors.initials: J
authors.lastname: Kvasnicka
authors.forename: V
authors.initials: V
authors.lastname: Rozsival
authors.forename: L
authors.initials: L
authors.lastname: Steinhart
mesh_terms: D000328:Adult; D005260:Female; D006325:Heart Atria / Q000000981:diagnostic imaging / Q000601:surgery; D006344:Heart Septal Defects, Atrial / Q000000981:diagnostic imaging / Q000601:surgery*; D006439:Hemodynamics / Q000502:physiology; D006801:Humans; D007049:Iatrogenic Disease; D010005:Osteoarthropathy, Secondary Hypertrophic / Q000000981:diagnostic imaging / Q000601:surgery*; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery*; D011859:Radiography; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging / Q000601:surgery