A Rare Anomalous Systemic Venous Return with Bilateral Absence of Superior Vena Cava

A 75-year-old woman presented with severe tricuspid regurgitation requiring surgical repair. She had extremely rare anomalies in systemic venous return in spite of situs solitus: persistent left superior vena cava with absent right superior vena cava, infrahepatic inferior vena cava interruption, and hemiazygos continuation to a persistent left superior vena cava. These unusual systemic venous anomalies had significantly enlarged the coronary sinus, and the stretched coronary sinus orifice changed the geometry of the tricuspid annulus and triggered tricuspid regurgitation. There were technical difficulties in establishing cardiopulmonary bypass and achieving successful tricuspid valve repair.

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‘Misplaced’ central venous catheter in a newborn: Reminder of a common congenital anomaly

Tropical Doctor ◽

10.1177/0049475520971608 ◽

2020 ◽

pp. 004947552097160

Author(s):

Deepanjan Bhattacharya

Keyword(s):

Congenital Anomaly ◽

Central Venous Catheter ◽

Superior Vena Cava ◽

Venous Return ◽

Superior Vena ◽

Vena Cava ◽

Venous Catheter ◽

Central Venous ◽

Left Superior Vena Cava ◽

Systemic Venous Return

Left superior vena cava is the commonest congenital anomaly of systemic venous return. We present the case of a newborn where left jugular venous placement of central venous catheter resulted in cannulation of the left superior vena cava.

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Reconstructive Methods for Anomalous Systemic Venous Return: Surgical Management of Persistent Left Superior Vena Cava

Seminars in Thoracic and Cardiovascular Surgery Pediatric Cardiac Surgery Annual ◽

10.1053/j.pcsu.2008.01.007 ◽

2008 ◽

Vol 11 (1) ◽

pp. 31-38 ◽

Cited By ~ 8

Author(s):

Florentino J. Vargas

Keyword(s):

Surgical Management ◽

Superior Vena Cava ◽

Venous Return ◽

Superior Vena ◽

Vena Cava ◽

Left Superior Vena Cava ◽

Persistent Left Superior Vena ◽

Systemic Venous Return ◽

Reconstructive Methods

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Single-Patch Fold-Back Technique for Augmentation of the Superior Vena Cava in Sinus Venosus Atrial Septal Defect Associated with Partial Anomalous Pulmonary Venous Return

The Heart Surgery Forum ◽

10.1532/hsf98.2014433 ◽

2015 ◽

Vol 17 (6) ◽

pp. 282

Author(s):

Suguru Ohira ◽

Kiyoshi Doi ◽

Takeshi Nakamura ◽

Hitoshi Yaku

Keyword(s):

Atrial Septal Defect ◽

Superior Vena Cava ◽

Septal Defect ◽

Venous Return ◽

Superior Vena ◽

Pulmonary Veins ◽

Vena Cava ◽

Sinus Venosus ◽

Right Atrial ◽

Anomalous Pulmonary Venous Return

Sinus venosus atrial septal defect (ASD) is usually associated with partial anomalous pulmonary venous return (PAPVR) of the right pulmonary veins to the superior vena cava (SVC), or to the SVC-right atrial junction. Standard procedure for repair of this defect is a patch roofing of the sinus venosus ASD and rerouting of pulmonary veins. However, the presence of SVC stenosis is a complication of this technique, and SVC augmentation is necessary in some cases. We present a simple technique for concomitant closure of sinus venosus ASD associated with PAPVR and augmentation of the SVC with a single autologous pericardial patch.

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