title: Late Clinical Presentation of Inferior Vena Cava Deviation into the Left Atrium Following Atrial Septal Defect Repair in the Childhood.
abstract: A 19-year-old woman underwent ASD closure with patch in the childhood. Fifteen years later, she presented with severe cyanosis and dyspnea on exertion. Clinical diagnostics revealed a dislocation of the patch resulting in a right-to-left shunt (RLS) that was compensated in the past years by a recurrent ASD allowing a left-to-right shunt (LRS). The existing balance between interatrial shunts vanished by the growth of the patient leading to the clinical deterioration. After successful redo surgery, the patient was discharged home 8 days postoperatively.
authors.affiliation: Division of Thoracic and Cardiovascular Surgery, Johann-Wolfgang-Goethe University, Frankfurt, Germany.
authors.forename: Ali
authors.initials: A
authors.lastname: El-Sayed Ahmad
authors.affiliation: Division of Thoracic and Cardiovascular Surgery, Johann-Wolfgang-Goethe University, Frankfurt, Germany.
authors.forename: Peter
authors.initials: P
authors.lastname: Kleine
authors.affiliation: Department of Diagnostic and Interventional Radiology, Johann-Wolfgang-Goethe University, Frankfurt, Germany.
authors.forename: Thomas
authors.initials: T
authors.lastname: Lehnert
authors.affiliation: Division of Thoracic and Cardiovascular Surgery, Johann-Wolfgang-Goethe University, Frankfurt, Germany.
authors.forename: Anton
authors.initials: A
authors.lastname: Moritz
keywords: congenital heart disease; imaging; reoperation