LEFT VENTRICULAR (LV) venting cannulae are used commonly during open-chamber cardiac
surgical procedures to help evacuate retained air and debris after closure of the
heart chambers. In this report, the authors describe a case of iatrogenic pulmonary
vein stenosis (PVS) secondary to vent insertion site suture closure. Timely echocardiographic
diagnosis allowed for immediate revision of the vent insertion site closure suture
and return of normal pulmonary venous flow into the left atrium. Pulmonary vein stenosis
is a known complication of orthotopic lung transplantation and transcatheter ablation
for atrial fibrillation,
1
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,
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,
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and has been reported as a postoperative finding in patients undergoing open-chamber
cardiac surgery with LV venting via the right superior pulmonary vein. To the authors’
knowledge, this is the first reported case of intraoperative transesophageal echocardiographic
detection of iatrogenic PVS secondary to LV venting site closure in the literature.Key Words
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Published online: October 12, 2022
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