Unusual Venacaval Anomalies in a Patient with Atrial Septal Defect

2008 ◽  
Vol 16 (6) ◽  
pp. 492-494 ◽  
Author(s):  
Sai S Oruganti ◽  
Pankaj Jariwala ◽  
Amit K Taggarse ◽  
Ramesh C Mishra
Keyword(s):  
Atrial Septal Defect ◽  
Superior Vena Cava ◽  
Septal Defect ◽  
Inferior Vena ◽  
Superior Vena ◽  
Pulmonary Stenosis ◽  
Vena Cava ◽  
Venous Drainage ◽  
Drainage Pattern ◽  
Left Superior Vena Cava

An unusual systemic venous drainage pattern was found in a 30-year-old man with ostium secundum atrial septal defect and pulmonary stenosis. He had the rare association of absent right superior vena cava, persistent left superior vena cava draining into the coronary sinus, and a left-sided inferior vena cava draining into a left superior vena cava through the hemiazygous vein.

Rare case of right ventricular dilatation associated with anomalous pulmonary venous drainage, sinus venosus atrial septal defect and persistent left superior vena cava

2021 ◽  
Vol 14 (1) ◽  
pp. e239687
Author(s):  
Stephanie Rees ◽  
Muhammad Tahir ◽  
Syed Jawad Ahmad ◽  
Eduardas Subkovas
Keyword(s):  
Right Ventricular ◽  
Atrial Septal Defect ◽  
Superior Vena Cava ◽  
Septal Defect ◽  
Superior Vena ◽  
Vena Cava ◽  
Venous Drainage ◽  
Left Superior Vena Cava ◽  
Persistent Left Superior Vena ◽  
Right Ventricular Dilatation

A 34-year-old woman was seen in the emergency department for shortness of breath and chest pain. During a pandemic, it is easy to ‘think horses and not zebras’, and with a patient presenting with the classic coronavirus symptoms it would have been easy to jump to that as her diagnosis. After a careful history and examination, it became clear that there was another underlying diagnosis. Chest X-ray, echocardiogram and CT scan revealed marked right ventricular dilatation and pulmonary hypertension, alongside a persistent left superior vena cava (PLSVC). Further investigation with cardiac MRI and coronary angiography at a tertiary centre demonstrated that she not only have a PLSVC but also a partial anomalous pulmonary venous drainage and sinus venosus atrial septal defect. This case highlights the importance of considering all differentials and approaching investigations in a logical manner.

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