Amplatzer Septal Occluder Closure of Secundum Atrial Septal Defects in the Presence of Persistent Left Superior Vena Cava to Coronary Sinus

2004 ◽  
Vol 25 (6) ◽  
pp. 686-689 ◽  
Author(s):  
K. M. Carlson ◽  
T. A. Johnston ◽  
T. K. Jones ◽  
R. G. Grifka
2009 ◽  
Vol 2009 ◽  
pp. 1-2 ◽  
Author(s):  
Tayfun Sahin ◽  
Teoman Kilic ◽  
Umut Celikyurt ◽  
Ulas Bildirici ◽  
Dilek Ural

Persistent left superior vena cava is a rare congenital venous anomaly. It results from failure of closure of the left anterior cardinal vein during cardiac development. It is usually asymptomatic but can be associated with other congenital cardiac defects including atrial septal defects, ventricular septal defects, endocardial cushion defects, tetralogy of Fallot and rhythm disturbances. PLSVC should be considered in the presence of a dilated coronary sinus on transthoracic echocardiography. The diagnosis can be made when injection of contrast in left antecubital vein results in enhancement of the dilated coronary sinus before right atrium. MRI, CT-scan and catheterisation can be used to confirm the diagnosis.


2020 ◽  
Vol 09 (01) ◽  
pp. e15-e17
Author(s):  
Sujana Dontukurthy ◽  
Yoshikazu Yamaguchi ◽  
Joseph D. Tobias

Abstract Background A persistent left superior vena cava (PLSVC) is the most common congenital anomaly of the thoracic venous return. Case Description During atrial septal defect repair, a pulmonary artery (PA) catheter was placed via the left internal jugular vein. Although placement of the PA catheter in the main PA was confirmed by transesophageal echocardiography, the central venous pressure (CVP) waveform was abnormal. Intraoperatively, the PA catheter was seen exiting the coronary sinus with the CVP port within the coronary sinus. Conclusions The diagnosis of PLSVC is discussed and the differential diagnosis of the abnormal “ventricular” pattern of the CVP waveform is reviewed.


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