Inferior vena cava to left atrium shunt presenting with polycythemia and stroke three decades following closure of atrial septal defect.
We report an adult patient presenting with polycythemia and stroke, three decades following surgical closure of an atrial septal defect. The avoidance, diagnosis, and management of this complication are discussed.
Cardiothoracic Center, All India Institute of Medical Sciences, New Delhi, India.
Manan
M
Desai
Sachin
S
Talwar
Shyam Sunder
SS
Kothari
Priya
P
Jagia
Balram
B
Airan
D000328:Adult; D006348:Cardiac Surgical Procedures / Q000009:adverse effects*; D004452:Echocardiography; D006325:Heart Atria / Q000503:physiopathology; D006344:Heart Septal Defects, Atrial / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D006439:Hemodynamics; D006801:Humans; D018810:Magnetic Resonance Angiography; D019028:Magnetic Resonance Imaging, Cine; D008297:Male; D010004:Osteoarthropathy, Primary Hypertrophic / Q000209:etiology; D011086:Polycythemia / Q000175:diagnosis / Q000209:etiology*; D012039:Regional Blood Flow; D012086:Reoperation; D020521:Stroke / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology; D013997:Time Factors; D016896:Treatment Outcome; D014682:Vena Cava, Inferior / Q000503:physiopathology* / Q000601:surgery