European Journal of Cardio-Thoracic Surgery, Vol 7, 331-333, Copyright © 1993 by European Association for Cardio-thoracic Surgery
Iatrogenic clubbing of the fingers
J Dominik, P Kunes, J Sistek, J Kvasnicka, V Rozsival and L Steinhart
Department of Cardiac Surgery, University Hospital, Hradec Kralove, Czech Republic.
We report on a 39-year-old female who had been operated on for an atrial
septal defect at the age of 14 years. On operation the inferior vena cava
was iatrogenically misdirected into the left atrium. The cyanotic patient,
in functional group IV of the NYHA classification, with polyglobulia and
clubbing of the fingers was successfully reoperated after 25 years.