Mann Jared, Wall Natalie, Casella Samuel, Strife Brian, Newton Daniel
Virginia Commonwealth University School of Medicine, Richmond, VA.
Department of Surgery, Virginia Commonwealth University Medical Center, Richmond, VA.
J Vasc Surg Cases Innov Tech. 2024 Apr 15;10(4):101503. doi: 10.1016/j.jvscit.2024.101503. eCollection 2024 Aug.
A 47-year-old man with a history of transposition of the great arteries after a Mustard atrial switch procedure and prior inferior vena cava filter placement for venous thromboembolism presented for removal before being listed for orthotopic heart transplantation in anticipation of cardiopulmonary bypass cannulation. The filter was retrieved using a right transjugular approach without disruption of his existing atrial baffle. Contingency planning in the event of unsuccessful baffle navigation included a transfemoral everted filter approach. A thorough understanding of unique patient anatomy and multidisciplinary team approach is critical to safe procedural intervention in patients with congenital cardiovascular anomalies.
一名47岁男性，有大动脉转位病史，曾接受Mustard心房转换手术，此前因静脉血栓栓塞放置了下腔静脉滤器，现准备在接受原位心脏移植列入名单之前取出滤器，因为预计要进行体外循环插管。采用右颈静脉入路取出滤器，未破坏其现有的心房挡板。若挡板导航不成功，应急计划包括经股静脉外翻滤器入路。深入了解患者独特的解剖结构和多学科团队方法对于先天性心血管异常患者的安全手术干预至关重要。
