title: Iatrogenic cyanosis and clubbing: 25 years of chronic hypoxia after the repair of an atrial septal defect.
abstract: A case of sinus venosus atrial septal defect repair of the inferior vena caval type with an unintentional diversion of the inferior vena caval blood to the left atrium is reported. Long-standing, anatomical, right-to-left shunting with cyanosis and hypoxia are associated with systemic and cerebrovascular complications. Cardiac risks depend on the presence or absence of pulmonary hypertension, the associated hematological abnormalities and the degree of anatomical, right-to-left shunting. Cardiac magnetic resonance imaging clarified the etiology of the unexplained cyanosis and delineated the surgical anatomy.
authors: MAUDE, McGill University, Montreal, Canada.
authors: Muath
authors: M
authors: Alanbaei
authors: Luc
authors: L
authors: Jutras
authors: Judith
authors: J
authors: Therrien
authors: Ariane
authors: A
authors: Marelli
mesh_terms: D000328:Adult; D002908:Chronic Disease; D003490:Cyanosis / Q000209:etiology*; D005260:Female; D006344:Heart Septal Defects, Atrial / Q000601:surgery*; D006801:Humans; D000860:Hypoxia / Q000209:etiology*; D007049:Iatrogenic Disease; D008279:Magnetic Resonance Imaging; D011183:Postoperative Complications; D013997:Time Factors