scholarly journals Minimally invasive congenital cardiac surgery with unsnared inferior vena cava

2020 ◽  
Author(s):  
Alvise Guariento ◽  
Claudia Cattapan ◽  
Francesco Bertelli ◽  
Vladimiro Vida
Keyword(s):  
Cardiac Surgery ◽  
Inferior Vena Cava ◽  
Minimally Invasive ◽  
Inferior Vena ◽  
Vena Cava ◽  
Congenital Cardiac Surgery

scholarly journals A case report of an interrupted inferior vena cava and azygos continuation: implications for preoperative screening in minimally invasive cardiac surgery

2021 ◽  
Author(s):  
Wiebe G Knol ◽  
Frans B Oei ◽  
Ricardo P J Budde ◽  
Maarten ter Horst
Keyword(s):  
Cardiac Surgery ◽  
Inferior Vena Cava ◽  
Minimally Invasive ◽  
Inferior Vena ◽  
Femoral Vein ◽  
Vena Cava ◽  
Minimally Invasive Cardiac Surgery ◽  
Azygos Continuation ◽  
Venous Cannula ◽  
The Right

Abstract Background Femoral cannulation is commonly used in minimally invasive cardiac surgery to establish extracorporeal circulation. We present a case with a finding that should be evaluated when screening candidates for minimally invasive cardiac surgery. Case presentation A 57-year-old male patient was scheduled for minimally invasive repair of the mitral and tricuspid valve and a MAZE-procedure. During surgery there was difficulty advancing the venous cannula inserted in the right femoral vein. On transesophageal echocardiography a guidewire advanced from the femoral vein was observed entering the right atrium from the superior vena cava. Despite inserting a second venous cannula in the jugular vein, venous drainage was insufficient for minimal invasive surgery. The approach was converted to a median sternotomy with bicaval cannulation. Re-examination of the preoperative computed tomography scan showed an interrupted inferior vena cava with azygos continuation. Discussion In patients with major venous malformations such as the interrupted inferior vena cava with azygos continuation a full sternotomy is the preferred approach. The venous system should be evaluated when screening candidates for minimally invasive mitral valve surgery with preoperative computed tomography. Additional cues to suspect interruption of the inferior vena cava are polysplenia and a broad superior mediastinal projection on the chest radiograph, mimicking a right paratracheal mass.

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.

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