Hostname: page-component-76fb5796d-vfjqv Total loading time: 0 Render date: 2024-04-27T22:14:27.339Z Has data issue: false hasContentIssue false

Intra-abdominal haemorrhaging after cardiac catheterisation: the importance of recognising vascular anomalies in heterotaxy syndrome

Published online by Cambridge University Press:  17 January 2023

Yuya Yamada*
Affiliation:
Department of Cardiology, Fukuoka Children’s Hospital, Fukuoka, Japan
Yuichi Ishikawa
Affiliation:
Department of Cardiology, Fukuoka Children’s Hospital, Fukuoka, Japan
Koichi Sagawa
Affiliation:
Department of Cardiology, Fukuoka Children’s Hospital, Fukuoka, Japan
*
Author for correspondence: Y. Yamada, MD, Fukuoka Children’s Hospital, 5-1-1, Kashii-Teriha, Higashi-ku, Fukuoka City, Fukuoka 813-0017, Japan. Tel: +81-92-682-7000; Fax: +81-92-682-7300. E-mail: y.yamada19880823@gmail.com

Abstract

A 2-month-old boy with a single ventricle underwent cardiac catheterisation. Inferior vena cava angiography at the end of the examination revealed local stenosis, flexion, and connection to the right hepatic vein. Six hours after catheterisation, he went into haemorrhagic shock. CT revealed contrast extravasation into the liver with ascites. A precise diagnosis of vascular anomalies is mandatory, especially in patients with heterotaxy syndrome.

Type
Brief Report
Copyright
© The Author(s), 2023. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Petik, B. Inferior vena cava anomalies and variations: imaging and rare clinical findings. Insights Imaging 2015; 6: 631639.CrossRefGoogle ScholarPubMed
Uemura, H, Ho, SY, Devine, WA, Anderson, RH. Analysis of visceral heterotaxy according to splenic status, appendage morphology, or both. Am J Cardiol 1995; 76: 846849.CrossRefGoogle ScholarPubMed
Freedom, RM, Mawson, JB, Yoo, SJ, Benson, LN. Congenital Heart Disease. Textbook of Angiocardiography, vol. I. Futura Publishing Company, Inc., New York, 1997: 305307.Google Scholar
Cullu, N, Yeniçeri, O, Deveer, M, Tetiker, H. Inferior vena cava hypoplasia with right hepatic vein and accessory inferior hepatic vein shunt. Folia Morphol (Warsz) 2014; 73: 99101.CrossRefGoogle ScholarPubMed
Agrawal, G, Das, A, Gupta, G. An unusual case of uninterrupted inferior vena cava with accessory hemizygous channel: an incidental finding in a child. Ann Card Anaesth 2020; 23: 512514.CrossRefGoogle ScholarPubMed