Levoatrial Cardinal Vein: Occluder Embolization and Complication Management

Autor: Ilker Mercan, Muhammet Akyuz, Baris Guven, Onur Isik
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Journal of Chest Surgery, Vol 54, Iss 3, Pp 214-217 (2021)
Druh dokumentu: article
ISSN: 2765-1606
2765-1614
DOI: 10.5090/jcs.20.037
Popis: In rare cases, levoatrial cardinal vein may occur as an isolated condition without additional congenital anomalies. Depending on the direction and flow of the shunt, this pathology may produce symptoms; alternatively, it may be asymptomatic, as in the case presented in this study. In asymptomatic cases, complications, such as paradoxical embolism and brain abscess, can arise later. In the 11-year-old patient whose case is presented here, the levoatrial cardinal vein was asymptomatic and incidentally detected. The percutaneous closure method was applied first. However, by 16 hours after the procedure, the occluder device had embolized to the iliac artery. Emergency surgery was performed; first, the occluder device was removed, and levoatrial cardinal vein ligation was then performed via a mini-thoracotomy. The symptoms, diagnosis, and treatment modalities of isolated levoatrial cardinal vein are discussed in the context of this case described herein.
Databáze: Directory of Open Access Journals