Oclusión de la vena levoatriocardinal con coils de Gianturco tras la cirugía de Fontan

Alcibar, Juan; Gómez, S.; Vitoria, Yolanda; Jiménez, Aitor; Peña, Natividad; Oñate, A; Cabrera, A; Martínez, Pablo

doi:10.1016/s0300-8932(99)74997-3

Cited by 6 publications

(1 citation statement)

References 9 publications

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“…In the literature, transcatheter occlusion has been successfully applied in cases of isolated partial pulmonary venous connection anomaly and PLACV. Cases suitable for percutaneous closure are those that involve patients without additional cardiac anomalies and who no longer require this natural shunt during follow-up after palliative operations, such as the Fontan procedure [ 9 , 10 ]. However, we encountered embolization of the occluder device to the iliac artery as a complication.…”

Section: Discussionmentioning

confidence: 99%

Levoatrial Cardinal Vein: Occluder Embolization and Complication Management

et al. 2021

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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.

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Section: Discussionmentioning

confidence: 99%