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2000, Number 5

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Arch Cardiol Mex 2000; 70 (5)

Anomalous connection of inferior vena cava to the left atrium: uncommon entity posing diagnostic and surgical challeng

Archundia GA, Gómez ÁE, Ixcamparij RC, Blanco CM, Hernández RMA

Language: Spanish
References: 14
Page: 492-498
PDF size: 452.21 Kb.


ABSTRACT

This is the diagnostic experiences as well as the surgical mode of treatment used in a 31 years old women suffering diversion of the inferior vena cava into the left atrium associated with atrial septal defect. The patient had been previously studied and operated thrice under conventional circumstances at different institutions in order to solve the septal defect. The hemodynamic solution had not been reached due to a missing pathological definition. The cineangiogram through the saphenous vein opecified the left atrium form the inferior vena cava. Some considerations are made on the surgical methods used for the fourth operation, and in regard of the fact that the patient refused blood transfusion because of religious convictions (Jehova Witness).


REFERENCES

  1. Selzer A, Lewis AE: The occurrence of chronic cyanosis in cases of atrial septal defect. Am J M Sc 1949; 218: 511-517.

  2. Gardner DL, Cole L: Long survival with inferior vena cava draining into the left atrium. Br Heart J 1955; 17: 93-96.

  3. Taussig HB: Congenital Malformations of the Heart Cambridge, Mass. Harvard Univ Press 1960; Vol 11: 951-952.

  4. Meadows WR, Bergstrand I, Sharp JT: Isolated anomalous connection of a great vein to the left atrium” The syndrome of cyanosis and clubbing, “normal” heart, and left ventricular hypertrophy on electrocardiogram. Circulation 1961; 24: 669-73.

  5. Gautam HP: Left atrial inferior vena cava with atrial septal defect. J Cardiovasc Surg 1968; 55: 827-829.

  6. Blondeau Ph, Piwnica A, Cachera JP, Maruelle J, Dubost Ch: Problémes chirugicaux posés par les anomalies du retour veineax cave au coeur. II. Territoire cave inférieur. Ann Chir Thor Cardiol 1969; 8(1): 85-94.

  7. Tuma S, Samanek M, Voriskova M, Benesova D, Prazsky F, Hucin B: Anomalies of the systemic venous return. Pediatr Radiol 1977; 5(4): 193-7.

  8. Gallaher ME, Sperling DR, Gwinn JL, Meyer BW, Fyler DC: Functional drainage of the inferior vena cava into the left atrium-three cases. Am J Cardiol 1963; 12: 561-6.

  9. Meyers DG, Latson LA, Mc Manus BM, Fleming WH: Anomalous drainage of the inferior vena cava into the left atrial connection: a case report involving a 41-year-old man. Cathet Cardiovasc Diagn 1989; 16(4): 329-44.

  10. Manfredi R, Cotroneo AR, Pirronti T, Macis G, Marano P: Congenital anomalies of the inferior vena cava: role of imaging. Radiol Med (Torino) 1995; 90(4): 424-30.

  11. Hallali P, Tcheng P, Davido A, Leriche H, Corone P: Atrial septal defect and cyanosis. A propos of 6 cases related to abnormal drainage of the inferior vena cava into the left atrium. Arch Mal Coeur 1988; 81(6): 783-6.

  12. Miyaguchi Y: Partial and total diversion of inferior vena cava into left atrium to produce chronic cyanosis in dogs. J Surg Res 1967; 7(7): 305-12.

  13. Kim YS, Serratto M, Long DM, Hastreiter AR: Left atrial inferior vena cava with atrial septal defect. Ann Thorac Surg 1971; 11: 165-70.

  14. Genoni M, Jenni R, Vogt PR, Germann R, Turina MI: Drainage of the inferior vena cava to the left atrium. Ann Thorac Surg 1999; 67(2): 543-5.




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