RESUMO
We report the first known case of a retro-aortic innominate vein providing continuity between both the left and right atria in the presence of a left superior vena cava and a normal coronary sinus. This unusual structure created a bidirectional shunt with clinical desaturation at baseline and it complicated the management of a 9-year-old patient while undergoing mechanical ventilation. An embryologic mechanism that explains the development of this complex remains elusive.
Assuntos
Veias Braquiocefálicas/anormalidades , Átrios do Coração/anormalidades , Cardiopatias Congênitas/diagnóstico , Malformações Vasculares/diagnóstico , Veia Cava Superior/anormalidades , Procedimentos Cirúrgicos Cardíacos , Criança , Seio Coronário , Feminino , Átrios do Coração/diagnóstico por imagem , Cardiopatias Congênitas/cirurgia , Humanos , RadiografiaRESUMO
We report the first known closure of an aortic conduit with the Amplatzer plug device. The device was used in the case of a 20-year-old male who presented with an aortic conduit that had thrombosed and had formed a pseudo-aneurysm. A 14-mm plug and a 16-mm plug were used to close off the proximal portion of the conduit in preparation for surgery. The successful use of the device minimized the risk and the extent of the subsequent surgery.