Key result
In a 61-year-old man with unknown inferior vena cava atresia, attempted minimally invasive mitral and tricuspid valve surgery failed due to venous wire positioning issues, necessitating an open sternotomy.
Case Report (n=1)
Highlights the rare but important clinical scenario of undiagnosed inferior vena cava atresia complicating venous cannulation for minimally invasive cardiac surgery.
Unknown IVC interruption may force conversion to sternotomy during planned minimally invasive valve surgery; this case leaves open optimal preoperative venous imaging strategies.
We report on a 61-year-old man with a previously unknown interruption of the inferior vena cava who was scheduled to undergo minimally invasive mitral and tricuspid valve surgery. We aimed to establish a cardiopulmonary bypass using femorofemoral cannulation under transoesophageal echocardiography. In spite of multiple attempts, the positioning of the venous wire in the right atrium was not accomplished. The intervention was subsequently performed by an open sternotomy. Further to the intervention, the patient underwent thoraco-abdominal multislice computed tomography that excluded the presence of an abdominal tumour or vena cava thrombosis but revealed atresia of the inferior vena cava.
No takes yet. Share an insight, caveat, or question.
Çetinkaya et al. (2018) conducted a case report in Atresia of the inferior vena cava (n=1). Open sternotomy was evaluated on Successful cardiopulmonary bypass and surgery. In a 61-year-old man with unknown inferior vena cava atresia, attempted minimally invasive mitral and tricuspid valve surgery failed due to venous wire positioning issues, necessitating an open sternotomy.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: