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1 From The Edward Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, Missouri
2 From Department of Thoracic and Cardiovascular Surgery, Washington University School of Medicine, St. Louis, Missouri
3 From the Department of Medicine, Washington University School of Medicine, St. Louis, Missouri
Two patients are presented in whom repair of an atrial septal defect of the secundum type resulted in a diversion of the inferior vena cava to the left atrium. Cyanosis or arterial oxygen desaturation following surgery was the first indication of this complication. Diagnostic work-up to establish the nature of the complication should be guided by the location of the repaired defect.
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