title: [Anomalous connection of inferior vena cava to left atrium: infrequent entity that can be a diagnosis and surgical challenge].
abstract: This is the diagnostic experiences as well as the surgical mode of treatment used in a 31 years old women suffering diversion of the inferior vena cava into the left atrium associated with atrial septal defect. The patient had been previously studied and operated thrice under conventional circumstances at different institutions in order to solve the septal defect. The hemodynamic solution had not been reached due to a missing pathological definition. The cineangiogram through the saphenous vein specified the left atrium form the inferior vena cava. Some considerations are made on the surgical methods used for the fourth operation, and in regard of the fact that the patient refused blood transfusion because of religious convictions (Jehova Witness).
authors.affiliation: División de Cardiocirugía, Centro Médico Nacional 20 de Noviembre ISSSTE, Av. Coyoacán y Felix Cuevas Col. del Valle, 03330 México, D.F.
authors.forename: A
authors.initials: A
authors.lastname: Archundia García
authors.forename: E
authors.initials: E
authors.lastname: Gómez Alvarez
authors.forename: C
authors.initials: C
authors.lastname: Ixcamparij Rosales
authors.forename: M
authors.initials: M
authors.lastname: Blanco Canto
authors.forename: M A
authors.initials: MA
authors.lastname: Hernández Ruiz
mesh_terms: D000015:Abnormalities, Multiple / Q000175:diagnosis / Q000601:surgery; D000328:Adult; D005260:Female; D006325:Heart Atria / Q000002:abnormalities* / Q000601:surgery; D006330:Heart Defects, Congenital / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D014682:Vena Cava, Inferior / Q000002:abnormalities* / Q000601:surgery
vernacular_title: Conexión anómala de la vena cava inferior a la aurícula izquierda: entidad poco frecuente que puede plantear un reto diagnóstico y quirúrgico.