Non-Catheter Related Perioperative Superior Vena Cava Syndrome Following Surgical VSD Closure-Role of Transesophageal Echocardiography

Unintentional iatrogenic surgical complications can complicate the operative and postoperative courses of paediatric cardiac surgery patients. Unless recognized and treated early, it’s possible, these complications may lead to a prolonged hospital stay, increased treatment cost, morbidity, and eve...

Full description

Bibliographic Details
Main Authors: Tanveer Singh Kundra, Divya Gopal, Manasa Dhananjaya
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2017-09-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:https://jcdr.net/articles/PDF/10651/29218_CE(RA1)_F(SS)_PF1(PG_AP)_PFA(VJ_SS).pdf
_version_ 1819043343900868608
author Tanveer Singh Kundra
Divya Gopal
Manasa Dhananjaya
author_facet Tanveer Singh Kundra
Divya Gopal
Manasa Dhananjaya
author_sort Tanveer Singh Kundra
collection DOAJ
description Unintentional iatrogenic surgical complications can complicate the operative and postoperative courses of paediatric cardiac surgery patients. Unless recognized and treated early, it’s possible, these complications may lead to a prolonged hospital stay, increased treatment cost, morbidity, and even death. Ventricular Septal Defect (VSD) is the most common congenital heart defect in children, occurring in 50% of all children with congenital heart disease and in 20% as an isolated lesion. Herein, we discuss the development of Superior Vena Cava (SVC) syndrome following surgical repair of VSD in a nine-month-old child. Early clinical diagnosis, immediate confirmation with Transthoracic Echocardiography (TTE) and surgical re-exploration led to a good outcome in this patient. If, however, we could have performed an intraoperative Trans Esophageal Echocardiography (TEE), this complication could have been recognized, even before shifting from the operating room.
first_indexed 2024-12-21T09:55:17Z
format Article
id doaj.art-1336d70d0f784f6d9bcbd24c65dda7ce
institution Directory Open Access Journal
issn 2249-782X
0973-709X
language English
last_indexed 2024-12-21T09:55:17Z
publishDate 2017-09-01
publisher JCDR Research and Publications Private Limited
record_format Article
series Journal of Clinical and Diagnostic Research
spelling doaj.art-1336d70d0f784f6d9bcbd24c65dda7ce2022-12-21T19:08:04ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2017-09-01119UD09UD1010.7860/JCDR/2017/29218.10651Non-Catheter Related Perioperative Superior Vena Cava Syndrome Following Surgical VSD Closure-Role of Transesophageal EchocardiographyTanveer Singh Kundra0Divya Gopal1Manasa Dhananjaya2DM Resident, Department of Cardiac Anaesthesia, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru, Karnataka, India.Assistant Professor, Department of Cardiac Anaesthesia, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru, Karnataka, India.Assistant Professor, Department of Cardiac Anaesthesia, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru, Karnataka, India.Unintentional iatrogenic surgical complications can complicate the operative and postoperative courses of paediatric cardiac surgery patients. Unless recognized and treated early, it’s possible, these complications may lead to a prolonged hospital stay, increased treatment cost, morbidity, and even death. Ventricular Septal Defect (VSD) is the most common congenital heart defect in children, occurring in 50% of all children with congenital heart disease and in 20% as an isolated lesion. Herein, we discuss the development of Superior Vena Cava (SVC) syndrome following surgical repair of VSD in a nine-month-old child. Early clinical diagnosis, immediate confirmation with Transthoracic Echocardiography (TTE) and surgical re-exploration led to a good outcome in this patient. If, however, we could have performed an intraoperative Trans Esophageal Echocardiography (TEE), this complication could have been recognized, even before shifting from the operating room.https://jcdr.net/articles/PDF/10651/29218_CE(RA1)_F(SS)_PF1(PG_AP)_PFA(VJ_SS).pdfiatrogenicsurgical complicationupper torso discoloration
spellingShingle Tanveer Singh Kundra
Divya Gopal
Manasa Dhananjaya
Non-Catheter Related Perioperative Superior Vena Cava Syndrome Following Surgical VSD Closure-Role of Transesophageal Echocardiography
Journal of Clinical and Diagnostic Research
iatrogenic
surgical complication
upper torso discoloration
title Non-Catheter Related Perioperative Superior Vena Cava Syndrome Following Surgical VSD Closure-Role of Transesophageal Echocardiography
title_full Non-Catheter Related Perioperative Superior Vena Cava Syndrome Following Surgical VSD Closure-Role of Transesophageal Echocardiography
title_fullStr Non-Catheter Related Perioperative Superior Vena Cava Syndrome Following Surgical VSD Closure-Role of Transesophageal Echocardiography
title_full_unstemmed Non-Catheter Related Perioperative Superior Vena Cava Syndrome Following Surgical VSD Closure-Role of Transesophageal Echocardiography
title_short Non-Catheter Related Perioperative Superior Vena Cava Syndrome Following Surgical VSD Closure-Role of Transesophageal Echocardiography
title_sort non catheter related perioperative superior vena cava syndrome following surgical vsd closure role of transesophageal echocardiography
topic iatrogenic
surgical complication
upper torso discoloration
url https://jcdr.net/articles/PDF/10651/29218_CE(RA1)_F(SS)_PF1(PG_AP)_PFA(VJ_SS).pdf
work_keys_str_mv AT tanveersinghkundra noncatheterrelatedperioperativesuperiorvenacavasyndromefollowingsurgicalvsdclosureroleoftransesophagealechocardiography
AT divyagopal noncatheterrelatedperioperativesuperiorvenacavasyndromefollowingsurgicalvsdclosureroleoftransesophagealechocardiography
AT manasadhananjaya noncatheterrelatedperioperativesuperiorvenacavasyndromefollowingsurgicalvsdclosureroleoftransesophagealechocardiography