Inability to Utilize Retrograde Cardioplegia due to a Persistent Left Superior Vena Cava
A persistent left superior vena cava is a congenital abnormality that affects a minority of the general population. While this finding is not hemodynamically significant in all patients, failure to recognize the altered anatomy in any of these patients can be consequential during procedures such as...
Saved in:
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2017-01-01
|
| Series: | Case Reports in Anesthesiology |
| Online Access: | http://dx.doi.org/10.1155/2017/4671856 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832556765271556096 |
|---|---|
| author | Rohesh J. Fernando Sean D. Johnson |
| author_facet | Rohesh J. Fernando Sean D. Johnson |
| author_sort | Rohesh J. Fernando |
| collection | DOAJ |
| description | A persistent left superior vena cava is a congenital abnormality that affects a minority of the general population. While this finding is not hemodynamically significant in all patients, failure to recognize the altered anatomy in any of these patients can be consequential during procedures such as central venous catheter placement, pacemaker/defibrillator wire placement, and use of retrograde cardioplegia during cardiac surgery. We present a case of an intraoperative diagnosis of a persistent left superior vena cava that altered the original plan to arrest the heart using retrograde cardioplegia. Echocardiography was instrumental in this diagnosis and avoided potentially inadequate myocardial protection during cardiopulmonary bypass. |
| format | Article |
| id | doaj-art-9c55201a5e4c412e9ff72ea17496f379 |
| institution | Kabale University |
| issn | 2090-6382 2090-6390 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Anesthesiology |
| spelling | doaj-art-9c55201a5e4c412e9ff72ea17496f3792025-02-03T05:44:33ZengWileyCase Reports in Anesthesiology2090-63822090-63902017-01-01201710.1155/2017/46718564671856Inability to Utilize Retrograde Cardioplegia due to a Persistent Left Superior Vena CavaRohesh J. Fernando0Sean D. Johnson1Cardiothoracic Section, Department of Anesthesiology, Wake Forest School of Medicine, Medical Center Boulevard, Winston Salem, NC 27157-1009, USACardiothoracic Section, Department of Anesthesiology, Wake Forest School of Medicine, Medical Center Boulevard, Winston Salem, NC 27157-1009, USAA persistent left superior vena cava is a congenital abnormality that affects a minority of the general population. While this finding is not hemodynamically significant in all patients, failure to recognize the altered anatomy in any of these patients can be consequential during procedures such as central venous catheter placement, pacemaker/defibrillator wire placement, and use of retrograde cardioplegia during cardiac surgery. We present a case of an intraoperative diagnosis of a persistent left superior vena cava that altered the original plan to arrest the heart using retrograde cardioplegia. Echocardiography was instrumental in this diagnosis and avoided potentially inadequate myocardial protection during cardiopulmonary bypass.http://dx.doi.org/10.1155/2017/4671856 |
| spellingShingle | Rohesh J. Fernando Sean D. Johnson Inability to Utilize Retrograde Cardioplegia due to a Persistent Left Superior Vena Cava Case Reports in Anesthesiology |
| title | Inability to Utilize Retrograde Cardioplegia due to a Persistent Left Superior Vena Cava |
| title_full | Inability to Utilize Retrograde Cardioplegia due to a Persistent Left Superior Vena Cava |
| title_fullStr | Inability to Utilize Retrograde Cardioplegia due to a Persistent Left Superior Vena Cava |
| title_full_unstemmed | Inability to Utilize Retrograde Cardioplegia due to a Persistent Left Superior Vena Cava |
| title_short | Inability to Utilize Retrograde Cardioplegia due to a Persistent Left Superior Vena Cava |
| title_sort | inability to utilize retrograde cardioplegia due to a persistent left superior vena cava |
| url | http://dx.doi.org/10.1155/2017/4671856 |
| work_keys_str_mv | AT roheshjfernando inabilitytoutilizeretrogradecardioplegiaduetoapersistentleftsuperiorvenacava AT seandjohnson inabilitytoutilizeretrogradecardioplegiaduetoapersistentleftsuperiorvenacava |