scholarly journals Anomalous drainage of left superior venacava into left atrium

2019 ◽  
Vol 6 (9) ◽  
pp. 3368
Author(s):  
Chandana Nirmala Chandrashekar ◽  
Padebettu Subramanya Seetharama Bhat ◽  
Manjunath Cholenahally Nanjappa
Keyword(s):  
Pulmonary Artery ◽  
Left Atrium ◽  
Coronary Sinus ◽  
Unusual Case ◽  
Pulmonary Veins ◽  
Proximal Part ◽  
Left Pulmonary Artery ◽  
Innominate Vein ◽  
Unroofed Coronary Sinus ◽  
Hemodynamic Alteration

The anomalies of drainage of systemic venous communications to the heart are many. But only few cause significant hemodynamic alteration and thus, complications. When they do, they need to be surgically corrected. We report an unusual case of a patient who was found to have left pulmonary veins draining into the left superior venacava (LSVC), which in turn was opening into the roof of the left atrium that had unroofed coronary sinus morphology. Innominate vein was absent. LSVC was divided cranial to where the pulmonary veins were draining into it. Lower end was suture closed. Proximal part of the LSVC was anastamosed to left pulmonary artery.

scholarly journals Left Circumflex Artery Rupture with Left Atrial Tamponade and Functional Mitral Stenosis

2018 ◽  
Vol 2018 ◽  
pp. 1-5
Author(s):  
Weiting Huang ◽  
Khaled Mohamed Emadeldin Moheb Hammad ◽  
Victor Tar Toong Chao ◽  
Khung Keong Yeo
Keyword(s):  
Left Atrium ◽  
Coronary Sinus ◽  
Mitral Stenosis ◽  
Left Atrial ◽  
Pulmonary Veins ◽  
Fluid Collection ◽  
Artery Dissection ◽  
Circumflex Artery ◽  
Left Circumflex Artery ◽  
Coronary Syndrome

The growth in percutaneous transluminal devices has enabled operators to tackle more complex, native, and post-bypass surgery anatomy. However, complications such as coronary artery dissection, coronary perforation, retrograde aortic dissection, arrhythmias, and acute coronary syndrome still occur with resulting mortality rates of up to 4.2% in complex interventions. Perforation of the circumflex artery is of particular interest in view of its position and relation to the surrounding cardiac structures. This is a site of potential fluid collection, and as the left atrium is fixed to the parietal pericardium at the entry of the pulmonary veins, fluid in the oblique sinus can accumulate enough pressure to compress the left atrium and the coronary sinus. We present a case of left circumflex artery perforation which demonstrates the physiologic complications of coronary sinus and left atrial compression and the resultant functional mitral stenosis.

Fistula between the right pulmonary artery and the left atrium coexisting with a secundum-type atrial septal defect: An unusual case of cyanosis in a girl

2019 ◽  
Vol 36 (7) ◽  
pp. 1423-1426
Author(s):  
Wei-Min Zhang ◽  
Hai-xu Zhu ◽  
Aizezi Maimaitiaili ◽  
Naibi Ayibieke ◽  
Tangsakar Ermek ◽  
...  
Keyword(s):  
Pulmonary Artery ◽  
Atrial Septal Defect ◽  
Left Atrium ◽  
Unusual Case ◽  
Septal Defect ◽  
Right Pulmonary Artery ◽  
The Right

Echocardiographic follow-up of percutaneous closure of the arterial duct in infants

1992 ◽  
Vol 2 (4) ◽  
pp. 335-337
Author(s):  
Luis Fernández Piñeda ◽  
Hugo Torrealday ◽  
Ramón Bermúdez Cañete ◽  
María J. Maitre Azcárate ◽  
Manuel Quero Jiménez
Keyword(s):  
Pulmonary Artery ◽  
Left Atrium ◽  
Color Doppler ◽  
Excellent Result ◽  
High Sensitivity ◽  
Left Pulmonary Artery ◽  
Left Ventricular ◽  
Cross Sectional ◽  
Arterial Duct

SummarySince February 1990, we have attempted nonsurgical occlusion of persistent patency of the arterial duct using the Rashkind double-disk occluding device, of either 12 or 17 mm diameter. Results are presented from 31 patients (23 female and eight male, ages 15 months to 16 years). M-Mode, cross-sectional, Doppler and color Doppler echocardiographic studies were made prior to closure, in the following 24 hours, and six months later. Left ventricular diastolic dimension and shortening fraction, systolic intervals, and left atrium/aortic ratio were evaluated by M-Mode echo. We examined carefully the location of the device relative to the left pulmonary artery and descending aorta, also checking for disturbed flows and residual shunts. These studies showed a clear tendency for the left ventricular diameter to decrease, and revealed a significant normalization of the left atrium/aortic ratio. Successful closure of the duct was achieved in 27 cases. Follow-up studies six months later showed residual shunting in four cases. In one patient, a second device was implanted with an excellent result. At the immediate follow-up, turbulences were noted in the area of the device (nine cases) and in the left pulmonary artery (seven cases). Distortion of the anatomic orientation of the left pulmonary artery was observed in three cases in which we discovered 20 mm Hg systolic gradients. In our opinion, echocardiography is the best technique with which to follow-up these patients. The high sensitivity of color Doppler echocardiography revealed minimal distortion of the left pulmonary artery, probably generated by regional anatomic adjustment to the insertion of the device.

Lobar emphysema due to anomalous aortic origin of the left pulmonary artery

1999 ◽  
Vol 9 (3) ◽  
pp. 327-330 ◽  
Author(s):  
Dale R. Absher ◽  
Vesna Martich Kriss ◽  
Carol M. Cottrill
Keyword(s):  
Pulmonary Artery ◽  
Unusual Case ◽  
Rare Complication ◽  
Left Pulmonary Artery ◽  
Pulmonary Trunk ◽  
Right Pulmonary Artery ◽  
Lobar Emphysema ◽  
Bronchial Compression

AbstractThe unusual case of an infant with aortic origin of the left pulmonary artery is presented. The patient developed a rare complication of lobar emphysema due to bronchial compression from the enlarged right pulmonary artery. Operative anastomosis of the left pulmonary artery to the pulmonary trunk was successful, with subsequent resolution of the lobar emphysema.

Surgical Correction of a Fistula Between Left Pulmonary Artery and Innominate Vein

2014 ◽  
Vol 98 (6) ◽  
pp. 2204-2206
Author(s):  
Tevfik Kaplan ◽  
Gokce Kaan Atac ◽  
Perihan Ekmekci ◽  
Emel Ozturk ◽  
Serdar Han
Keyword(s):  
Pulmonary Artery ◽  
Left Pulmonary Artery ◽  
Surgical Correction ◽  
Innominate Vein

The Physical Properties of Human Pulmonary Arteries and Veins

1978 ◽  
Vol 55 (5) ◽  
pp. 477-484 ◽  
Author(s):  
J. Banks ◽  
F. V. McL. Booth ◽  
E. H. MacKay ◽  
B. Rajagopalan ◽  
G. De J. Lee
Keyword(s):  
Pulmonary Artery ◽  
Physical Properties ◽  
Lung Disease ◽  
Left Atrium ◽  
Pulmonary Veins ◽  
Main Pulmonary Artery ◽  
Pulmonary Arteries ◽  
Post Mortem ◽  
Arteries And Veins

1. We have studied the extensibility of circumferential strips of main pulmonary artery and large pulmonary veins obtained at post mortem from patients of all ages, dying from conditions other than heart and lung disease. 2. The vessel strips were submitted to increasing loads in a tension balance. The pulmonary arteries were found to be readily extensible. This extensibility became less with increasing age. The pulmonary veins were virtually inextensible at all ages. 3. It is postulated that the large extraparenchymal pulmonary veins have a capacitative role in supplying blood from the lungs to the left atrium. This may be accomplished by their collapsible nature, as they have little capability of distension.

Abstract 4655: Retrograde Ethanol Infusion in the Vein of Marshall for Ablation of Atrial Fibrillation: Tissue Ablation, Effects on Regional Vagal Innervation and First Human Experience

Circulation ◽  
2008 ◽  
Vol 118 (suppl_18) ◽  
Author(s):  
Miguel Valderrábano ◽  
Harvey R Chen ◽  
Jasvinder S Sidhu ◽  
Liyun Rao ◽  
Yuesheng Ling ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Left Atrium ◽  
Coronary Sinus ◽  
Left Atrial ◽  
Vagal Stimulation ◽  
Pulmonary Veins ◽  
Posterior Wall ◽  
Tissue Ablation ◽  
Ethanol Infusion ◽  
Before And After

The vein of Marshall (VOM) is an attractive target during ablation of atrial fibrillation due to its autonomic innervation and its location anterior to the left pulmonary veins and drainage in the coronary sinus. We studied 14 dogs. A coronary sinus venogram showed a VOM in 10, which was successfully cannulated with an angioplasty wire and a 2 mm balloon. In 5 dogs, electroanatomical (Carto) maps of the left atrium were performed at baseline and after ethanol (100%, 4 – 8 cc) was infused in the VOM, which demonstrated the creation of a new crescent-shaped scar in the left atrium, extending from the annular left atrium towards the posterior wall and left pulmonary veins. In 4 dogs, both cervical vagal trunks were isolated in the carotid sheath and cuff stimulation electrodes were attached to them. Effective refractory periods (ERP) were measured in 3 sites of the left atrium, before and after high-frequency bilateral vagal stimulation. The baseline ERP was 113.6±35.0 ms, and decreased to 82.2±25.4 ms (p<0.05) after vagal stimulation. After alcohol infusion in VOM, vagally-mediated ERP decrease was eliminated (from 108±27.2 ms to 95.6 ±16.7ms, p=NS). This elimination of vagal effects was not uniform and was limited in sites in proximity with the VOM (baseline ERP 105±18.7ms vs post vagal 98.±37.6ms, p=NS, as opposed to 106.7±27.1ms vs post vagal 73.3±19.7ms, p<0.05, in sites remote to VOM). We also tested feasibility of VOM alcohol infusion in humans: 2 patients undergoing pulmonary vein antral isolation had successful VOM cannulation: left atrial voltage maps demonstrated new scar involving the infero-posterior left atrial wall extending towards the left pulmonary veins. Retrograde alcohol infusion in the VOM achieves significant left atrial tissue ablation, abolishes local vagal responses and is feasible in humans.

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