Iatrogenic Superior Vena Cava Syndrome after Cardiopulmonary Bypass Diagnosed by Intraoperative Echocardiography
| Autor: | Roy E Henrickson, Pavithra Ellison, Matthew Ellison, Julia Graff, Alex Statler, Heather K. Hayanga, Daniel Sloyer, Mir Ali Abbas Khan |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Case Report 030204 cardiovascular system & hematology law.invention 03 medical and health sciences 0302 clinical medicine Anesthesiology Superior vena cava law Internal medicine Cardiopulmonary bypass Medicine RD78.3-87.3 030212 general & internal medicine cardiovascular diseases Superior vena cava syndrome business.industry Mitral valve replacement Central venous pressure Refractory hypotension medicine.disease Stenosis Anesthesiology and Pain Medicine Cardiology cardiovascular system medicine.symptom business Mitral valve regurgitation |
| Zdroj: | Case Reports in Anesthesiology Case Reports in Anesthesiology, Vol 2020 (2020) |
| ISSN: | 2090-6390 2090-6382 |
| Popis: | A 73-year-old female patient presented for mitral valve replacement and coronary artery bypass grafting secondary to multivessel coronary disease and severe mitral valve regurgitation with moderate stenosis. After bypass, the patient developed refractory hypotension with decreased biventricular volume and elevated central venous pressure (CVP). Transesophageal echocardiography (TEE) was utilized to make the diagnosis of acute intraoperative superior vena cava (SVC) syndrome. The SVC cannulation site was revised, resulting in resolution of the hypotension and a decrease in the CVP. Intraoperative TEE was vital in recognizing, managing, and ultimately repairing the acute intraoperative SVC stenosis. |
| Databáze: | OpenAIRE |
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