Budd-Chiari syndrome as late complication of secundum atrial septal defect closure.
A young adult patient, in whom 20 years previously a secundum atrial septal defect had been closed surgically, presented with symptoms of a Budd-Chiari syndrome, cirrhosis of the liver, ascites, and edema of the lower legs. The inferior vena cava-right atrial junction was obstructed by a calcified Teflon patch and shrinkage of the surrounding tissue. Augmentation of the inferior vena cava-right atrial junction with a Gore-Tex patch resulted in unobstructed inflow into the right atrium.
Diegeler
A
A
Heart Center, University of Leipzig, Germany.
Van Son
J A
JA
Mohr
F W
FW
D000328:Adult; D001201:Ascites / Q000209:etiology*; D006502:Budd-Chiari Syndrome / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D002114:Calcinosis / Q000150:complications*; D005260:Female; D006344:Heart Septal Defects, Atrial / Q000601:surgery*; D006801:Humans; D008103:Liver Cirrhosis / Q000209:etiology*; D011859:Radiography; D012086:Reoperation; D013526:Surgical Mesh / Q000009:adverse effects*; D013997:Time Factors