Iatrogenic cyanosis in children, a pitfall of atrial septal defect repair

Document Type : Case Report


1 Cardiologist, Department of Pediatric Cardiology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

2 Cardiac Surgeon, Department of Cardiovascular Surgery, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.


Today surgical repair of the atrial septal defect (ASD) is considered as relatively a simple and safe procedure with minor to no morbidity and mortality. When a complication occurs after ASD repair, is associated with considerable morbidity and mortality, which is much higher than primary surgical procedure. We report two patients that underwent ASD repair with caval inflow occlusion without CPB with late presentations of iatrogenic diversion of IVC to LA and subsequent complications of right to left shunting.


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