title: Detection and diagnosis of iatrogenic inadvertent diversion of partial inferior vena cava into the left atrium by transesophageal echocardiography during large posteroinferior surgical atrial septal defect closure.
abstract: Iatrogenic diversion of the inferior vena cava (IVC) into the left atrium (LA) is usually reported as a rare complication following large posteroinferior atrial septal defect (ASD) surgery. It may cause acute or chronic hypoxemia, and other potentially life-threatening complications such as stroke. We present a case in which the ASD patch straddled the IVC entrance diagnosed immediately by transesophageal echocardiography (TEE) during the period of patient separated from cardiopulmonary bypass, avoiding the related complications. Our report further underlines the important role of TEE to monitor and guide ASD surgical management, especially secundum ASD with inferior extension or inferior sinus venosus defects, for the early diagnosis of iatrogenic surgical errors.
authors.affiliation: Department of Anesthesiology, West China Hospital, Sichuan University, Chengdu, 610041, Sichuan, People's Republic of China.
authors.forename: Yanzi
authors.initials: Y
authors.lastname: Zhang
authors.affiliation: Department of Anesthesiology, West China Hospital, Sichuan University, Chengdu, 610041, Sichuan, People's Republic of China.
authors.forename: Haibo
authors.initials: H
authors.lastname: Song
authors.affiliation: Department of Anesthesiology, Chongqing Zhongshan Hospital, Chongqing, 404100, People's Republic of China.
authors.forename: Xin
authors.initials: X
authors.lastname: Qiao
authors.affiliation: Department of Cardiac Surgery, West China Hospital, Sichuan University, Chengdu, 610041, Sichuan, People's Republic of China.
authors.forename: Xijun
authors.initials: X
authors.lastname: Xiao
authors.affiliation: Department of Anesthesiology, West China Hospital, Sichuan University, Chengdu, 610041, Sichuan, People's Republic of China.
authors.forename: Jin
authors.initials: J
authors.lastname: Liu
authors.affiliation: Department of Anesthesiology, West China Hospital, Sichuan University, Chengdu, 610041, Sichuan, People's Republic of China. 1490829116@qq.com.
authors.forename: Xiao
authors.initials: X
authors.lastname: Wang
mesh_terms: D000328:Adult; D002315:Cardiopulmonary Bypass / Q000379:methods; D017548:Echocardiography, Transesophageal / Q000379:methods*; D005260:Female; D006325:Heart Atria / Q000601:surgery; D006344:Heart Septal Defects, Atrial / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D007049:Iatrogenic Disease; D019300:Medical Errors; D014682:Vena Cava, Inferior / Q000473:pathology*