Abstract

Doc number: 91

Abstract: We report a case of a 41-year-old Indian man who initially underwent an emergency coronary artery bypass grafting surgery (CABG) after presenting with an anterolateral myocardial infarction.

Post-operatively he developed progressively worsening symptoms of right heart failure with increasing abdominal distension and lower limb swelling. Clinically, the patient was in NYHA class 4 heart failure.

He was admitted multiple times for the treatment of his heart failure, which was recalcitrant to diuretic therapy.

He subsequently underwent an MRI scan, which revealed near transmural myocardial infarction involving mainly the left side of the heart. The right atrium and ventricle were grossly dilated, with moderate to severe right ventricular systolic dysfunction. A sinus venosus atrial septal defect with right-sided partial anomalous pulmonary venous drainange (PAPVD) was noted. He subsequently underwent surgery to repair the sinus venosus atrial septal defect (ASD) as well as re-route the PAPVD to the left atrium (LA). He was discharged on post-operative day 19 with oral diuretics.

On follow-up at 1 month, the patient's symptoms had resolved and his clinical status corresponded to NYHA class 1-2.

Details

Title
Missed case of sinus venosus atrial septal defect post coronary artery bypass grafting
Author
De, Sudeep Das; Maung Maung Aye, Winn; Shankar, Sriram
Pages
91
Publication year
2014
Publication date
2014
Publisher
BioMed Central
e-ISSN
1749-8090
Source type
Scholarly Journal
Language of publication
English
DOI
https://doi.org/10.1186/1749-8090-9-91
ProQuest document ID
1538481835
Copyright
© 2014 De et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.