A Case of Persistent Left Superior Vena Cava and Left Pulmonary Venous Drainage to the Coronary Sinus

2017 ◽  
Vol 11 (4) ◽  
pp. NP57-NP59
Author(s):  
Edon J. Rabinowitz ◽  
Nilanjana Misra ◽  
David B. Meyer
Keyword(s):  
Superior Vena Cava ◽  
Coronary Sinus ◽  
Superior Vena ◽  
Pulmonary Veins ◽  
Vena Cava ◽  
Surgical Techniques ◽  
Venous Drainage ◽  
Clinical Consequence ◽  
Left Superior Vena Cava ◽  
Persistent Left Superior Vena

We report a case of a persistent left superior vena cava draining to the right atrium via the coronary sinus in conjunction with partial anomalous pulmonary venous return of the left pulmonary veins to the coronary sinus. Although a persistent left superior vena cava is typically of little clinical consequence, in this case, it complicated surgical repair of the congenital heart disease. Successful repair of this unusual combination of systemic and pulmonary venous anomalies required a combination of two well-described surgical techniques.

scholarly journals PERSISTENT LEFT SUPERIOR VENA CAVA: A DECEPTIVE ANOMALY

2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Javaria Aleem ◽  
Waqas Ahmad
Keyword(s):  
Superior Vena Cava ◽  
Coronary Sinus ◽  
Superior Vena ◽  
Pulmonary Veins ◽  
Vena Cava ◽  
Central Venous Line ◽  
Left Superior Vena Cava ◽  
Persistent Left Superior Vena ◽  
Vena Cava Superior ◽  
The Right

Persistent left superior vena cava (SVC) is a rare but vital congenital anomaly of the thoracic venous system. It is the persistence of vessel that normally regresses during early foetal life. It has utmost importance in intervention radiology, cardiothoracic procedures and insertion of the central venous line as well as in trauma. The vessel can drain into the right atrium through the coronary sinus, directly into left atrium or through pulmonary veins. It is usually detected during routine investigations and requires surgical treatment. In our case, SVC persists on both right and left sides with enlarged coronary sinus incidentally detected during follow-up for breast cancer.Key words: Persistent left superior vena cava, superior vena cava, vascular variant

scholarly journals Midline crossing pulmonary vein: right upper lobe dual venous drainage, with partial anomalous venous return of the right lung into a persistent left superior vena cava

2021 ◽  
Author(s):  
J. van Schuppen ◽  
A. E. van der Hulst ◽  
I. M. Kuipers ◽  
B. Straver ◽  
S. M. Boekholdt ◽  
...  
Keyword(s):  
Superior Vena Cava ◽  
Superior Vena ◽  
Pulmonary Veins ◽  
Vena Cava ◽  
Vascular Anatomy ◽  
Disease Status ◽  
Venous Drainage ◽  
Left Superior Vena Cava ◽  
Persistent Left Superior Vena ◽  
The Right

Abstract Introduction We present a case of dual drainage of the right upper lobe of the lung into the left atrium and via partial anomalous venous pulmonary return (PAPVR) into a persistent left superior vena cava (SVC). Discussion It is only in the minority of PAPVR cases where the anomalous pulmonary veins cross the midline. We provide a review of current literature on this topic and an explanatory embryological model. Knowledge of embryonic development and possible anatomic variations, including the concept of dual venous drainage of the lung, leads to better interpretation of imaging, with more accurate description of the morphology at hand. High-resolution multidetector computed tomography (MDCT) helps to delineate the exact vascular anatomy. This will enhance a better understanding of and anticipation on the patient’s disease status, with more accurate planning of intervention, and possibly less complications.

scholarly journals Four-Dimensional Echocardiography Is an Accurate Tool for Coronary Sinus Evaluation in Patients with Persistent Left Superior Vena Cava Diagnosis

Discoveries ◽  
2020 ◽  
Vol 8 (4) ◽  
pp. e118
Author(s):  
Adina Glodeanu ◽  
◽  
Diana Alexandra Cherata ◽  
Radu Teodoru Popa ◽  
Didi Liliana Popa ◽  
...  
Keyword(s):  
Superior Vena Cava ◽  
Coronary Sinus ◽  
Superior Vena ◽  
Vena Cava ◽  
Venous Drainage ◽  
Resource Saving ◽  
Left Superior Vena Cava ◽  
Persistent Left Superior Vena ◽  
Diagnostic Time ◽  
Dimensional Echocardiography

Persistent left superior vena cava (PLSVC) is a rare vascular congenital anomaly yet the most common for the thoracic venous system. Usually asymptomatic, PLSVC is commonly diagnosed when echocardiography or other cardiovascular imaging is performed. Due to venous drainage abnormality, PLSVC is frequently associated with other anomalies of the intrinsic heart’s conduction system, leading to tachy- or brady- arrhythmias. We present the case of a patient with 20 years history of supraventricular rhythm disorders diagnosed with isolated PLSVC. Furthermore, we discuss the diagnostic approach providing insights into four-dimensional echocardiography (4DE) evaluation for PLSVC diagnosis, assuming that there is a direct correlation between coronary sinus dilatation caused by abnormal venous return and supraventricular rhythm disorders. We highlight that correct understanding of the pathophysiology of PLSVC will lead to a reduction in unnecessary and potentially harmful testing, to a shorter diagnostic time and to a financial resource saving, as a whole.

scholarly journals Persistent Left Superior Vena Cava Suggested by an Unusual Central Venous Pressure Waveform

2020 ◽  
Vol 09 (01) ◽  
pp. e15-e17
Author(s):  
Sujana Dontukurthy ◽  
Yoshikazu Yamaguchi ◽  
Joseph D. Tobias
Keyword(s):  
Central Venous Pressure ◽  
Superior Vena Cava ◽  
Coronary Sinus ◽  
Superior Vena ◽  
Venous Pressure ◽  
Vena Cava ◽  
Central Venous ◽  
Left Superior Vena Cava ◽  
Persistent Left Superior Vena ◽  
Defect Repair

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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