Abstract
A 5-month-old boy with a VACTERL syndrome underwent cardiac surgery for correction of a common arterial trunk and closure of an atrial septal defect. A prominent Eustachian valve was mistaken for the atrial septum and surgically closed. Thirty months later, after gradual shrinking of the foramen ovale with associated reduction of the right-to-left shunt, the boy presented with acute symptoms of a lower inflow obstruction, characterized by hepatomegaly and engorged abdominal vein pattern (Medusa's head). The boy was reoperated successfully after the condition had been recognized.
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Becker, A., Buss, M., Sebening, W. et al. Acute Inferior Cardiac Inflow Obstruction Resulting from Inadvertent Surgical Closure of a Prominent Eustachian Valve Mistaken for an Atrial Septal Defect. Pediatr Cardiol 20, 155–157 (1999). https://doi.org/10.1007/s002469900427
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DOI: https://doi.org/10.1007/s002469900427