Hemodynamic Instability Secondary to Inferior Vena Cava Compression: A Rare Complication of Massive Walled-off Pancreatic Necrosis

2015 ◽  
Vol 110 ◽  
pp. S114-S115
Author(s):  
Toseef Javaid ◽  
Nauman Siddiqui ◽  
Syed Hasan ◽  
Jamal Saleh ◽  
Arunkumar Baskara ◽  
...  
Keyword(s):  
Inferior Vena Cava ◽  
Pancreatic Necrosis ◽  
Inferior Vena ◽  
Rare Complication ◽  
Vena Cava ◽  
Hemodynamic Instability

A Rare Case of Stenosis at the Inferior Vena Cava to Right Atrium Anastomosis After Bicaval Orthotopic Heart Transplantation

2019 ◽  
Vol 23 (4) ◽  
pp. 418-421 ◽  
Author(s):  
Benjamin Abrams ◽  
Jordan Hoffman ◽  
Muhammad Aftab ◽  
Jacob Evers ◽  
Tamas Seres
Keyword(s):  
Inferior Vena Cava ◽  
Heart Transplantation ◽  
Right Atrium ◽  
Inferior Vena ◽  
Rare Complication ◽  
Vena Cava ◽  
Surgical Techniques ◽  
Hemodynamic Instability ◽  
Organ Injury ◽  
Orthotopic Heart Transplantation

Stenosis at either the superior or inferior caval anastomosis is a rare complication of orthotopic heart transplantation (OHT) and is unique to the bicaval surgical technique. The severity of stenosis dictates the degree of clinical significance, varying from asymptomatic to congestive end-organ injury and hemodynamic instability from impaired preload. Due to differences in the anatomic location of organ congestion, the clinical presentation also depends on which of the 2 anastomoses is involved. In this article, the authors describe a case of stenosis at the inferior vena cava to right atrium anastomosis, which was diagnosed intraoperatively during OHT after weaning from cardiopulmonary bypass. Transesophageal echocardiography provided an accurate and timely diagnosis of this complication, which allowed for immediate surgical correction. Surprisingly, a large, native Eustachian valve was found to be obstructing the anastomosis. Resection of the valve relieved the previously significant narrowing across the anastomosis. This case highlights the importance of thorough intraoperative transesophageal echocardiographic evaluation of graft anastomoses during OHT, as well as an understanding on the part of the echocardiographer of the specific surgical techniques employed during OHT.

scholarly journals Obstruction of the inferior vena cava following bicaval orthotopic heart transplantation: a case series

2021 ◽  
Vol 5 (2) ◽  
Author(s):  
Anas Abudan ◽  
Brent Kidd ◽  
Peter Hild ◽  
Bhanu Gupta
Keyword(s):  
Inferior Vena Cava ◽  
Heart Transplantation ◽  
Inferior Vena ◽  
Rare Complication ◽  
Vena Cava ◽  
Case Series ◽  
Transoesophageal Echocardiography ◽  
Right Atrial ◽  
Orthotopic Heart Transplantation ◽  
Eustachian Valve

Abstract Background Inferior vena cava (IVC) obstruction is a rare complication of orthotopic heart transplantation (OHT) and is unique to bicaval surgical technique. The clinical significance, diagnosis, complications, and management of post-operative IVC anastomotic obstruction have not been adequately described. Case summary Two patients with end-stage heart failure presented for bicaval OHT. Post-operative course was complicated with shock refractory to fluid resuscitation and inotropic/vasopressor support. Obstruction at the IVC-right atrial (RA) anastomosis was diagnosed on transoesophageal echocardiography (TOE), prompting emergent reoperation. In both cases, a large donor Eustachian valve was found to be restricting flow across the IVC-RA anastomosis. Resection of the valve resulted in relief of obstruction across the anastomosis and subsequent improvement in haemodynamics and clinical outcome. Discussion Presumably rare, we present two cases of IVC obstruction post-bicaval OHT. Inferior vena cava obstruction is an under-recognized cause of refractory hypotension and shock in the post-operative setting. Prompt recognition using TOE is crucial for immediate surgical correction and prevention of multi-organ failure. Obstruction can be caused by a thickened Eustachian valve caught in the suture line at the IVC anastomosis, which would require surgical resection.

Can Coronary Vein Size Predict Hemodynamic Instability During Inferior Vena Cava Clamping in Liver Transplantation?

2014 ◽  
Vol 46 (3) ◽  
pp. 692-695 ◽  
Author(s):  
C.-E. Huang ◽  
S.-C. Yang ◽  
C.-L. Chen ◽  
Y.-F. Cheng ◽  
K.-W. Cheng ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Inferior Vena Cava ◽  
Inferior Vena ◽  
Vena Cava ◽  
Hemodynamic Instability ◽  
Coronary Vein

scholarly journals Hemodynamic Instability Secondary to Inferior Vena Cava Compression

2019 ◽  
Vol 6 (10) ◽  
pp. e00269
Author(s):  
Tanvi Goyal ◽  
Toseef Javaid ◽  
Anirudh Goyal ◽  
Zubair Khan
Keyword(s):  
Inferior Vena Cava ◽  
Inferior Vena ◽  
Vena Cava ◽  
Hemodynamic Instability

scholarly journals Inferior vena cava thrombosis: a rare complication of fibrocalcific pancreatic diabetes

2013 ◽  
Vol 2013 (apr22 1) ◽  
pp. bcr2012008330-bcr2012008330 ◽  
Author(s):  
R. Mishra ◽  
Y. BE ◽  
H. D ◽  
K. Usman
Keyword(s):  
Inferior Vena Cava ◽  
Inferior Vena ◽  
Rare Complication ◽  
Vena Cava ◽  
Pancreatic Diabetes ◽  
Vena Cava Thrombosis ◽  
Inferior Vena Cava Thrombosis

scholarly journals Something is in the wrong place.

2021 ◽  
Author(s):  
Leonardo Rufino Garcia ◽  
Andre Garzesi ◽  
Elvis Porto ◽  
Diego Pretel ◽  
Antonio Martins ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Cardiopulmonary Bypass ◽  
Inferior Vena Cava ◽  
Young Woman ◽  
Inferior Vena Cava Filter ◽  
Inferior Vena ◽  
Vena Cava ◽  
Hemodynamic Instability ◽  
Surgical Team ◽  
Wrong Place

Inferior vena cava filter (IVCF) embolization is not uncommon and can reach 11,8%. However, device migration to the heart is not frequent and occurs in cases after IVCF fracture. We show the case of a young woman who was submitted to an unremarkable IVCF placement three days before and presented with hemodynamic instability. Since the device was not retrievable, the surgical team opted for an open cardiac surgery under cardiopulmonary bypass to remove IVCF.

Thrombosis of the inferior vena cava and right atrium: a rare complication of an amebic liver abscess in Dakar, Senegal

2012 ◽  
Vol 22 (1) ◽  
pp. 91-94 ◽  
Author(s):  
P.S. Touré ◽  
Y.M. Léye ◽  
M.M. Diop ◽  
S. El fajri ◽  
M. Diop ◽  
...  
Keyword(s):  
Inferior Vena Cava ◽  
Liver Abscess ◽  
Right Atrium ◽  
Inferior Vena ◽  
Rare Complication ◽  
Vena Cava ◽  
Amebic Liver Abscess

Injury to the inferior vena cava as a complication of ureteral splint insertion – case report

2019 ◽  
Vol 98 (8) ◽  
pp. 335-338
Keyword(s):  
Case Report ◽  
Inferior Vena Cava ◽  
Ct Scan ◽  
Inferior Vena ◽  
Rare Complication ◽  
Vena Cava ◽  
B Lymphoma ◽  
Ureteral Stenting

The authors describe a rare complication of ureteral stenting is the case study of a patient admitted to the hospital for congestion in the outlet system of both kidneys due to external ureteral compression by tumorous mass in the retroperitoneum. Histology confirmed the B-lymphoma of the retroperitoneum as a cause of the patient‘s problems. The ureteral stent was perforated in the course of inserting the stent into the ureter and the end of the splint was introduced into the inferior vena cava. The patient was asymptomatic, and this complication was detected as late as on day 12 on the follow-up CT scan. Stent extraction was without complications and without bleeding.

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