A 24-Year-Old Male Patient With an Ostium Secundum Complex Atrial Defect Secondary to a Perforated Aneurysm With Inferior Vena Cava Agenesis.

Autor:	Arias Rivera AS; General Surgery, Hospital Angeles Lomas, Huixquilucan, MEX., Rubio K; Surgery, Hospital Angeles Lomas, Huixquilucan, MEX., Gonzalez Solano LS; Surgery, Universidad Nacional Autonoma de Mexico, Mexico City, MEX., Gomez Gonzalez MD; Cardiac Surgery, Hospital Angeles Lomas, Huixquilucan, MEX., Ledu Lara A; Cardiothoracic Surgery, Hospital Angeles Lomas, Huixquilucan, MEX., Carrillo Cornejo M; Interventional Cardiology, Hospital Angeles Lomas, Huixquilucan, MEX., Calderon Abbo MC; Cardiothoracic Surgery, Hospital Angeles Lomas, Huixquilucan, MEX.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2024 Jun 03; Vol. 16 (6), pp. e61624. Date of Electronic Publication: 2024 Jun 03 (Print Publication: 2024).
DOI:	10.7759/cureus.61624
Abstrakt:	The article describes a successful clinical outcome in the case of a 24-year-old male with a diagnosis of an ostium secundum atrial defect secondary to a perforated aneurysm associated with vena cava agenesis. During hospitalization, an echocardiogram revealed the presence of ostium secundum inter-atrial communication with a left to right shunt, a left ventricular ejection fraction (LVEF) of 60%, and mild pulmonary hypertension, measured at 40 mmHg. CT imaging showed anomalous dilation of the azygos vein (16.8 mm), associated with interruption of the vena cava in the intrahepatic and adrenal portion, continuing through the azygos system and draining into the superior vena cava. Open-heart surgery was performed with pericardium patch placement on the defect. Postoperative transthoracic echocardiography revealed a tracking of the interatrial septum, with adequate placement of the surgical patch and no evidence of residual short circuits. The postoperative recovery was favorable, and the patient was discharged five days after surgery. Outpatient monitoring at the first and third months showed no complications during physical examination and echocardiogram imaging. Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. (Copyright © 2024, Arias Rivera et al.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu