Inadvertent Diversion of Inferior Vena Cava to Left Atrium after Repair of Atrial Septal Defect – Early Diagnosis and Correction of Error: Role of Intraoperative Transesophageal Echocardiography

481 The Editor, Iatrogenic diversion of inferior vena cava (IVC) to left atrium had been reported many times.[1‐8] In few reported cases, this complication was detected years after surgery.[2] Transesophageal echocardiography (TEE) is instrumental in timely diagnosis of such surgical errors and helps in immediate correction of such complication.[3] We describe a case of ostium secundum atrial septal defect (ASD) repair surgery where intraoperative TEE has helped in diagnosis and correction of the complication, on operation table itself. TEE is said to be critically important for the open heart surgeries. A 27‐year‐old female patient who was diagnosed to have ostium secundum ASD with absent IVC rim was referred to cardiac surgery department for surgical repair. ASD device closure was not possible due to absent IVC rim.