Right-to-left shunting with normal pulmonary pressure complicating atrial septal defect surgery.
We report on a patient in whom a right-to-left shunt with normal pulmonary arterial pressures occurred after surgery of an inferior vena caval sinus venosus-type atrial septal defect. In addition to the inferior vena cava to left atrium anatomic defect, the exceptional occurrence of a post-operative right atrial inflow stenosis contributed to the right-to-left shunting.
Unger
Philippe
P
Bondue
Antoine
A
Loiseau
Jacques
J
Dessy
Hughes
H
Primo
Georges
G
Le Clerc
Jean-Louis
JL
D000792:Angiography; D006348:Cardiac Surgical Procedures / Q000009:adverse effects*; D003251:Constriction, Pathologic / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D015150:Echocardiography, Doppler; D005260:Female; D006344:Heart Septal Defects, Atrial / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D011183:Postoperative Complications; D011667:Pulmonary Veins / Q000002:abnormalities*; D011669:Pulmonary Wedge Pressure / Q000502:physiology*; D012086:Reoperation; D014682:Vena Cava, Inferior / Q000002:abnormalities*