scholarly journals Persistent Left Superior Vena Cava (PLSVC) with Anomalous Hepatic Venous Drainage

2015 ◽  
Vol 54 (6) ◽  
pp. 681-681
Author(s):  
Tetsuya Nomura ◽  
Natsuya Keira ◽  
Taku Kato ◽  
Tetsuya Tatsumi
2017 ◽  
Vol 11 (4) ◽  
pp. NP57-NP59
Author(s):  
Edon J. Rabinowitz ◽  
Nilanjana Misra ◽  
David B. Meyer

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.


Author(s):  
J. van Schuppen ◽  
A. E. van der Hulst ◽  
I. M. Kuipers ◽  
B. Straver ◽  
S. M. Boekholdt ◽  
...  

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.


2021 ◽  
Vol 14 (1) ◽  
pp. e239687
Author(s):  
Stephanie Rees ◽  
Muhammad Tahir ◽  
Syed Jawad Ahmad ◽  
Eduardas Subkovas

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.


Discoveries ◽  
2020 ◽  
Vol 8 (4) ◽  
pp. e118
Author(s):  
Adina Glodeanu ◽  
◽  
Diana Alexandra Cherata ◽  
Radu Teodoru Popa ◽  
Didi Liliana Popa ◽  
...  

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.


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