[Diversion of the inferior vena cava into the left atrium after repair of atrial septal defect with partial anomalous pulmonary venous drainage].
An 11-year-old female had operative repair of atrial septal defect associated with partial anomalous pulmonary venous drainage by direct suture at 6-year-old. Postoperatively, cyanosis and nodal bradycardia were noted by physical exercise. During 5 years thereafter, the symptoms were gradually aggravated accompanying. Cardiac catheterization revealed diversion of the inferior vena cava into the left atrium. Oxygen sampling showed right to left shunt of 22% at the atrial level. At reoperation, orifice of the inferior vena cava into the right atrium became narrow 5 mm in diameter. After enlargement of the orifice, the atrial septum was created with a Gore-Tex patch to redirect the inferior vena cava to the right atrium. Post operative course was uneventful with disappearance of the cyanosis. The patient is up and well now 9 years after reoperation.
Shuntoh
K
K
Second Department of Surgery, Kyoto Prefectural University of Medicine, Japan.
Wada
Y
Y
Kawai
T
T
Oka
T
T
D002648:Child; D005260:Female; D006325:Heart Atria; D006344:Heart Septal Defects, Atrial / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D011667:Pulmonary Veins / Q000002:abnormalities*; D012086:Reoperation; D014682:Vena Cava, Inferior / Q000601:surgery