Case Report: Incidental finding of an atresia of the inferior vena cava-a challenge for cardiac surgery.

anatomic variant aortic surgery computer tomograph preoperating planning thoracic aorta aneurysm vena cava inferior agenesia

Journal

Frontiers in cardiovascular medicine
ISSN: 2297-055X
Titre abrégé: Front Cardiovasc Med
Pays: Switzerland
ID NLM: 101653388

Informations de publication

Date de publication:
2024
Historique:
received: 14 10 2023
accepted: 22 01 2024
medline: 21 2 2024
pubmed: 21 2 2024
entrez: 21 2 2024
Statut: epublish

Résumé

Inferior vena cava atresia is a rare and usually asymptomatic condition. However, when these patients undergo cardiac surgery, it can present an unexpected and challenging situation for the surgeon. Specifically, adequate venous drainage during cardiopulmonary bypass (CPB) is a critical issue here and may require an extension of cannulation strategies. Adequate preoperative diagnostics, ideally with imaging modalities such as CT angiography or MRI, are required for optimal surgical planning. Here, we describe a rare case of thoracic ascending aortic aneurysm with concomitant inferior vena cava atresia that was successfully operated on. With adequate preoperative planning, we were able to perform an operation without unforeseen complications with standard initialization of CPB.

Identifiants

pubmed: 38380181
doi: 10.3389/fcvm.2024.1321685
pmc: PMC10876821
doi:

Types de publication

Case Reports

Langues

eng

Pagination

1321685

Informations de copyright

© 2024 Buech, Radner, Fabry, Rutkowski, Hagl, Peterss and Pichlmaier.

Déclaration de conflit d'intérêts

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Auteurs

Joscha Buech (J)

Department of Cardiac Surgery, LMU University Hospital, Munich, Germany.
German Centre for Cardiovascular Research (DZHK), Partner Site Munich Heart Alliance, Munich, Germany.
University Aortic Center Munich (LMU), LMU University Hospital, Munich, Germany.

Caroline Radner (C)

Department of Cardiac Surgery, LMU University Hospital, Munich, Germany.
German Centre for Cardiovascular Research (DZHK), Partner Site Munich Heart Alliance, Munich, Germany.
University Aortic Center Munich (LMU), LMU University Hospital, Munich, Germany.

Thomas Fabry (T)

Department of Cardiac Surgery, LMU University Hospital, Munich, Germany.
University Aortic Center Munich (LMU), LMU University Hospital, Munich, Germany.

Simon Rutkowski (S)

Department of Cardiac Surgery, LMU University Hospital, Munich, Germany.
University Aortic Center Munich (LMU), LMU University Hospital, Munich, Germany.

Christian Hagl (C)

Department of Cardiac Surgery, LMU University Hospital, Munich, Germany.
German Centre for Cardiovascular Research (DZHK), Partner Site Munich Heart Alliance, Munich, Germany.
University Aortic Center Munich (LMU), LMU University Hospital, Munich, Germany.

Sven Peterss (S)

Department of Cardiac Surgery, LMU University Hospital, Munich, Germany.
University Aortic Center Munich (LMU), LMU University Hospital, Munich, Germany.

Maximilian A Pichlmaier (MA)

Department of Cardiac Surgery, LMU University Hospital, Munich, Germany.
University Aortic Center Munich (LMU), LMU University Hospital, Munich, Germany.

Classifications MeSH