Cargando…
Incidental Finding of Interrupted Inferior Venacava During Minimally Invasive Cardiac Surgery
We report a case of 44-year-old female patient with congenital heart disease, ostium secundum atrial septal defect (ASD) with moderate mitral regurgitation for minimally invasive ASD repair along with mitral valve repair. Venous cannulations were performed through right internal jugular vein and rig...
Autores principales: | , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8253027/ https://www.ncbi.nlm.nih.gov/pubmed/33884983 http://dx.doi.org/10.4103/aca.ACA_170_19 |
_version_ | 1783717423664332800 |
---|---|
author | Singh, Subash Sundar Palangadan, Shaji Yadav, Manish |
author_facet | Singh, Subash Sundar Palangadan, Shaji Yadav, Manish |
author_sort | Singh, Subash Sundar |
collection | PubMed |
description | We report a case of 44-year-old female patient with congenital heart disease, ostium secundum atrial septal defect (ASD) with moderate mitral regurgitation for minimally invasive ASD repair along with mitral valve repair. Venous cannulations were performed through right internal jugular vein and right femoral vein (RFV) and arterial cannulation was accomplished through right femoral artery. Intraoperative transesophageal echocardiography (TEE) could not visualize venous cannula through RFV. However, cardiopulmonary bypass (CPB) was initiated and surgery was proceeded. During surgery, patients abdomen became tense and distened, ontable ultrasound examination of abdomen was done after completion of the surgery to rule out hemoperitoneum but was inconclusive, patient was evaluated further under fluoroscopy in cathlab and found to have interrupted inferior vena cava. Postoperative course of the patient was uneventful. We discuss the importance of preoperative evaluation and the role of TEE in placement of cannulas during minimally invasive cardiac surgery. |
format | Online Article Text |
id | pubmed-8253027 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-82530272021-07-09 Incidental Finding of Interrupted Inferior Venacava During Minimally Invasive Cardiac Surgery Singh, Subash Sundar Palangadan, Shaji Yadav, Manish Ann Card Anaesth Interesting Image We report a case of 44-year-old female patient with congenital heart disease, ostium secundum atrial septal defect (ASD) with moderate mitral regurgitation for minimally invasive ASD repair along with mitral valve repair. Venous cannulations were performed through right internal jugular vein and right femoral vein (RFV) and arterial cannulation was accomplished through right femoral artery. Intraoperative transesophageal echocardiography (TEE) could not visualize venous cannula through RFV. However, cardiopulmonary bypass (CPB) was initiated and surgery was proceeded. During surgery, patients abdomen became tense and distened, ontable ultrasound examination of abdomen was done after completion of the surgery to rule out hemoperitoneum but was inconclusive, patient was evaluated further under fluoroscopy in cathlab and found to have interrupted inferior vena cava. Postoperative course of the patient was uneventful. We discuss the importance of preoperative evaluation and the role of TEE in placement of cannulas during minimally invasive cardiac surgery. Wolters Kluwer - Medknow 2021 2021-04-19 /pmc/articles/PMC8253027/ /pubmed/33884983 http://dx.doi.org/10.4103/aca.ACA_170_19 Text en Copyright: © 2021 Annals of Cardiac Anaesthesia https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Interesting Image Singh, Subash Sundar Palangadan, Shaji Yadav, Manish Incidental Finding of Interrupted Inferior Venacava During Minimally Invasive Cardiac Surgery |
title | Incidental Finding of Interrupted Inferior Venacava During Minimally Invasive Cardiac Surgery |
title_full | Incidental Finding of Interrupted Inferior Venacava During Minimally Invasive Cardiac Surgery |
title_fullStr | Incidental Finding of Interrupted Inferior Venacava During Minimally Invasive Cardiac Surgery |
title_full_unstemmed | Incidental Finding of Interrupted Inferior Venacava During Minimally Invasive Cardiac Surgery |
title_short | Incidental Finding of Interrupted Inferior Venacava During Minimally Invasive Cardiac Surgery |
title_sort | incidental finding of interrupted inferior venacava during minimally invasive cardiac surgery |
topic | Interesting Image |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8253027/ https://www.ncbi.nlm.nih.gov/pubmed/33884983 http://dx.doi.org/10.4103/aca.ACA_170_19 |
work_keys_str_mv | AT singhsubashsundar incidentalfindingofinterruptedinferiorvenacavaduringminimallyinvasivecardiacsurgery AT palangadanshaji incidentalfindingofinterruptedinferiorvenacavaduringminimallyinvasivecardiacsurgery AT yadavmanish incidentalfindingofinterruptedinferiorvenacavaduringminimallyinvasivecardiacsurgery |