Inferior Vena Cava Obstruction Following Surgical Repair of a Secundum Atrial Septal Defect

Pranav Patel; Aaron Lee; Jordan Zaid; John Tenuto; Brett Waldman; Michael Rosenbloom; James Kovacs; Loheetha Ragupathi

doi:10.1016/j.jaccas.2020.12.004

Inferior Vena Cava Obstruction Following Surgical Repair of a Secundum Atrial Septal Defect

JACC Case Rep. 2021 Jan 20;3(1):82-86. doi: 10.1016/j.jaccas.2020.12.004. eCollection 2021 Jan.

Authors

Pranav Patel¹, Aaron Lee¹, Jordan Zaid², John Tenuto¹, Brett Waldman¹, Michael Rosenbloom³, James Kovacs⁴, Loheetha Ragupathi¹

Affiliations

¹ Department of Medicine, Division of Cardiovascular Disease, Cooper University Hospital, Cooper Medical School of Rowan University, Camden, New Jersey, USA.
² Department of Medicine, Cooper University Hospital, Cooper Medical School of Rowan University, Camden, New Jersey, USA.
³ Department of Surgery, Division of Cardiothoracic Surgery, Cooper University Hospital, Cooper Medical School of Rowan University, Camden, New Jersey, USA.
⁴ Department of Radiology, Cooper University Hospital, Cooper Medical School of Rowan University, Camden, New Jersey, USA.

Abstract

Obstruction of the inferior vena cava (IVC) following surgical repair of an atrial septal defect (ASD) is a rare complication. We present the case of a patient who developed IVC obstruction following surgical repair of a large secundum ASD. The diagnostic and management approaches used to care for this patient are discussed. (Level of Difficulty: Intermediate.).

Keywords: ASD repair; ASD, atrial septal defect; CMR, cardiac magnetic resonance; CT, computed tomography; CTA, computed tomography angiography; EV, eustachian valve; IVC, inferior vena cava; RA, right atrium; TEE, transesophageal echocardiogram; TTE, transthoracic echocardiogram; eustachian valve; secundum ASD.

Publication types

Case Reports