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Venous Diversion Surgery Revisited: A Baffling Situation
Jessica R Klassen1, Davinder S Jassal1, Brett Memauri2
1Department of Internal Medicine, University of Manitoba.
Cureus
|July 11, 2017
Summary
Adult congenital heart disease (CHD) survivors require specialized care. This case highlights complex post-surgical atrial septal defect (ASD) management using advanced imaging for diagnosis and treatment.
Area of Science:
- Cardiology
- Adult Congenital Heart Disease
- Cardiovascular Imaging
Background:
- Increasing population of adult congenital heart disease (CHD) survivors.
- Need for clinicians to be aware of surgical options for adult CHD.
- Previous surgical repair of atrial septal defect (ASD) secundum and anomalous pulmonary veins with partial atrial diversion in childhood.
Observation:
- A 65-year-old female presented with hypoxia and right-to-left shunting.
- The patient had a history of childhood surgical repair for ASD secundum and anomalous pulmonary veins with partial atrial diversion.
Findings:
- Multimodality cardiovascular imaging, including echocardiography, CT, MRI, and cardiac catheterization, was utilized.
- These imaging techniques were complementary in diagnosing and managing a complex post-surgical cardiac anomaly.
Implications:
- Demonstrates the importance of comprehensive imaging in complex adult CHD cases.
- Highlights the need for ongoing vigilance and specialized management strategies for adult CHD patients with a history of complex repairs.
- Emphasizes the role of multimodality imaging in navigating rare and challenging cardiovascular presentations in adult survivors of childhood heart disease.
Keywords:
cardiac catheterizationcardiac mricomputed tomographycongenital heart diseaseechocardiographyMore Related Videos
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