Case report: Intraoperative reversal of flow through an atrial septal defect presenting as hypoxemia during off-pump coronary artery bypass grafting

Yun Zhao; Chaorui Mi; Juan Xie; Hui Li

doi:10.3389/fcvm.2023.1085755

Frontiers in Cardiovascular Medicine (Jul 2023)

Case report: Intraoperative reversal of flow through an atrial septal defect presenting as hypoxemia during off-pump coronary artery bypass grafting

Yun Zhao,
Chaorui Mi,
Juan Xie,
Hui Li

Affiliations

Yun Zhao: Department of Anesthesiology, The Second Xiangya Hospital, Central South University, Changsha, China
Chaorui Mi: Department of Anesthesiology, The Second Xiangya Hospital, Central South University, Changsha, China
Juan Xie: Department of Academic Affairs, The Second Xiangya Hospital, Central South University, Changsha, China
Hui Li: Department of Anesthesiology, The Second Xiangya Hospital, Central South University, Changsha, China

DOI: https://doi.org/10.3389/fcvm.2023.1085755
Journal volume & issue: Vol. 10

Abstract

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The co-existence of atrial septal defect and coronary artery disease in a patient is rare in clinical practice. In the combined surgery of off-pump coronary artery bypass grafting and atrial septal defect closure, the unusual cardiac positions may affect the direction of blood shunting between the atriums, leading to more complex hemodynamic changes. Here, we report a case of a 67-year-old female who underwent refractory hypoxemia related to heart position in such a combined operation.

Published in Frontiers in Cardiovascular Medicine

ISSN: 2297-055X (Online)
Publisher: Frontiers Media S.A.
Country of publisher: Switzerland
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.frontiersin.org/journals/cardiovascular-medicine

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