Persistent Left Superior Vena Cava Draining Into the Left Atrium Found During Bypass Operation.

Autor: Schreiber C; Department of Cardiac Surgery, Paracelsus Medical University, Salzburg, Austria., Kirnbauer M; Department of Anesthesiology, Perioperative Care and Intensive Care Medicine, Paracelsus Medical University, Salzburg, Austria., Hoellinger R; Department of Cardiac Surgery, Paracelsus Medical University, Salzburg, Austria., Seitelberger R; Department of Cardiac Surgery, Paracelsus Medical University, Salzburg, Austria., Gottardi R; Department of Cardiac Surgery, Paracelsus Medical University, Salzburg, Austria. Electronic address: roman.gottardi@gmail.com.
Jazyk: angličtina
Zdroj: The Annals of thoracic surgery [Ann Thorac Surg] 2017 Feb; Vol. 103 (2), pp. e161-e162.
DOI: 10.1016/j.athoracsur.2016.06.106
Abstrakt: We report the case of a 72-year-old woman who underwent urgent coronary bypass grafting (CABG). Intraoperatively a persistent left superior vena cava (PLSVC) draining into the left atrium was detected. Because of the resulting right-to-left shunt volume even after complete drainage and collapse of the right atrium, the heart was still ejecting in the absence of significant aortic insufficiency. Thorough examination revealed a PLSVC draining into the left atrium. After ligation of the PLSVC, the CABG could be performed as planned.
(Copyright © 2017 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE