Iatrogenic Superior Vena Cava Syndrome after Cardiopulmonary Bypass Diagnosed by Intraoperative Echocardiography

Autor:	Ellison, Matthew B., Statler, Alex, Henrickson, Roy E., Graff, Julia, Sloyer, Daniel, Abbas Khan, Mir Ali, Hayanga, Heather K., Ellison, Pavithra R.
Jazyk:	angličtina
Rok vydání:	2020
Předmět:	Article Subject cardiovascular system cardiovascular diseases
Zdroj:	Case Reports in Anesthesiology.
ISSN:	2090-6382
DOI:	10.1155/2020/8813065
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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