Giant Coronary Sinus Caused by Absent Right and Persistent Left Superior Vena Cava and Severe Tricuspid Regurgitation

2007 ◽  
Vol 15 (1) ◽  
pp. 23
Author(s):  
Jeung Hoan Paik ◽  
Tae Ho Park ◽  
Young Hoon Kim ◽  
Hee Kyung Baek ◽  
Jin Han ◽  
...  
Keyword(s):  
Superior Vena Cava ◽  
Coronary Sinus ◽  
Tricuspid Regurgitation ◽  
Superior Vena ◽  
Vena Cava ◽  
Left Superior Vena Cava ◽  
Severe Tricuspid Regurgitation ◽  
Persistent Left Superior Vena

Surgery for tricuspid regurgitation in a case of anomalous systemic venous return

2018 ◽  
Vol 26 (3) ◽  
pp. 227-230
Author(s):  
Koki Eto ◽  
Yasuhiro Kotani ◽  
Yasuyuki Kobayashi ◽  
Daichi Edaki ◽  
Shingo Kasahara ◽  
...  
Keyword(s):  
Superior Vena Cava ◽  
Coronary Sinus ◽  
Tricuspid Regurgitation ◽  
Venous Return ◽  
Superior Vena ◽  
Vena Cava ◽  
Tricuspid Valve Repair ◽  
Left Superior Vena Cava ◽  
Persistent Left Superior Vena ◽  
Systemic Venous Return

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.

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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