Low Cardiac Output after Division of the Left Superior Vena Cava during a Norwood Operation for Hypoplastic Left Heart Syndrome in a Patient with Coronary Sinus Orifice Atresia: A case report.
- Author:
Eun Seok CHOI
1
;
Woong Han KIM
;
Sung Joon PARK
;
Jae Gun KWAK
;
Jeong Wook SEO
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Korea. woonghan@snu.ac.kr
- Publication Type:Case Report
- Keywords:
Coronary sinus;
Vena cava, superior;
Hypoplastic left heart disease
- MeSH:
Autopsy;
Cardiac Output, Low;
Coronary Sinus;
Drainage;
Female;
Humans;
Hypoplastic Left Heart Syndrome;
Norwood Procedures;
Veins;
Vena Cava, Superior
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2010;43(2):161-163
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A 12-day-old female baby underwent a Norwood procedure for hypoplastic left heart syndrome. The left superior vena cava (LSVC), which was found incidentally during the operation, was divided to facilitate surgical exposure. After the operation, she developed signs of low cardiac output and died 7 hours afterward. Autopsy findings showed that the coronary sinus was atretic at the orifice without unroofing into both atria, rendering the LSVC the sole route of coronary sinus drainage. In patients with incidentally-found LSVC during surgery, special care should be taken to leave the LSVC intact because the LSVC may be the exclusive drainage vein of the coronary venous system.
