scholarly journals An Uncommon Congenital Abnormality Discovered Using Multimodality Cardiac Imaging in an Elder Hospitalized For Decompensated Heart Failure

2021 ◽  
Vol 31 (3) ◽  
pp. 627-632
Author(s):  
Alexandra-Ioana HRIBAN ◽  
◽  
Daniela CRISU ◽  
Manuela URSARU ◽  
Laurentiu SORODOC ◽  
...  
Keyword(s):  
Coronary Sinus ◽  
Cardiac Imaging ◽  
Superior Vena ◽  
Vena Cava ◽  
Decompensated Heart Failure ◽  
Congenital Defects ◽  
Diagnostic Challenge ◽  
Right Heart ◽  
Anatomy And Physiology ◽  
Sinus Venosus Defect

We report the case of a 77-year-old patient admitted for worsening dyspnea, palpitations and dizziness. The electrocardiogram (ECG) showed atrial fibrillation (AF) and left bundle branch block (LBBB). Clinical examination showed hypoxemia (SaO2 87% room air), jugular venous distension, pitting edema, arrhythmic heart sounds, a splitting of the second heart sound and systolic murmur (III-IV/VI) in the tricuspid area. Transthoracic echocardiography (TTE) showed right heart dilation, moderate tricuspid regurgitation, biventricular hypertrophy, and a dilated coronary sinus (CS). Agitated saline injection in the left basilar vein raised a suspicion of persistent left superior vena cava (PLSVC) to coronary sinus fistula. Transesophgaeal ecocardiography (TOE) showed a superior sinus venosus defect, with bidirectional shunt, and persistence of LSVC. CT angiography confirmed and detalied the malformation features. A low suspicion for congenital defects in older adults presents a significant diagnostic challenge. Multimodality cardiac imaging is critical in determining the etiology of right heart dilation, and knowledge of the anatomy and physiology of various shunt lesions is essential for clinicians.

Echocardiography of the Inferior Vena Cava, Superior Vena Cava, and Coronary Sinus in Right Heart Failure

1998 ◽  
Vol 15 (8) ◽  
pp. 787-794 ◽  
Author(s):  
M. BASHAR A. SHALA ◽  
IVAN A. D'CRUZ ◽  
CAMEILA JOHNS ◽  
JACKIE KAISER ◽  
REGENIA CLARK
Keyword(s):  
Heart Failure ◽  
Inferior Vena Cava ◽  
Superior Vena Cava ◽  
Coronary Sinus ◽  
Inferior Vena ◽  
Superior Vena ◽  
Vena Cava ◽  
Right Heart Failure ◽  
Right Heart ◽  
Vena Cava Superior

A Giant Coronary Sinus Aneurysm with Secondary Vena Cava Aneurysms

2016 ◽  
Vol 19 (1) ◽  
pp. 028
Author(s):  
Shengjun Wu ◽  
Peng Teng ◽  
Yiming Ni ◽  
Renyuan Li
Keyword(s):  
Computed Tomography ◽  
Heart Transplantation ◽  
Coronary Sinus ◽  
Unusual Case ◽  
Superior Vena ◽  
Vena Cava ◽  
Final Diagnosis ◽  
Rare Entity ◽  
First Case ◽  
Enhanced Computed Tomography

Coronary sinus aneurysm (CSA) is an extremely rare entity. Herein, we present an unusual case of an 18-year-old symptomatic female patient with a giant CSA. Secondary vena cava aneurysms were also manifested. The final diagnosis was confirmed by enhanced computed tomography (CT) and cardiac catheterization. As far as we know, it is the first case that such a giant CSA coexists with secondary vena cava aneurysms. Considering the complexity of postoperative reconstruction, we believe that heart transplantation may be the optimal way for treatment. The patient received anticoagulant due to the superior vena cava (SVC) thrombosis while waiting for a donor.

ANOMALIES OF THE PULMONARY VEINS AND THEIR SURGICAL SIGNIFICANCE

PEDIATRICS ◽  
1952 ◽  
Vol 9 (2) ◽  
pp. 152-166
Author(s):  
HARRY G. PARSONS ◽  
ANN PURDY ◽  
BRUCE JESSUP
Keyword(s):  
Superior Vena Cava ◽  
Clinical Symptoms ◽  
Superior Vena ◽  
Pulmonary Veins ◽  
Vena Cava ◽  
Ductus Venosus ◽  
Return Flow ◽  
Right Heart ◽  
Surgical Measures ◽  
The Right

The successful operations upon abnormalities of the outflow tracts of the heart suggest that surgical measures may also be applied to the correction of abnormal inflow tracts. Technically the anastomosis of veins to the auricle has been proved feasible in the experimental animal. Therefore, it should be possible to correct abnormally placed pulmonary veins in man. A wide variety of such anomalies occur. In 55 of 136 reported cases, all the oxygenated blood from the lungs was returned to the right heart through anomalous vessels. Thirty-five per cent of these cases of complete diversion were accompanied by other major cardiac defects. It is estimated that 50% or more of the return flow from the lungs must reach the right heart to produce clinical symptoms. Two cases are presented of persistence of the left superior vena cava which transmitted all the freshly oxygenated blood to the right auricle, by way of the left innominate and the right superior vena cava. The clinical picture was that of growth retardation, minimal cyanosis, a huge hyperactive heart, a loud left mesocardial systolic murmur, pulsating shadows in both upper pulmonary fields, and nearly identical oxygen-saturation of blood obtained from the right heart and femoral artery. One case is reported in which all the oxygenated blood from the lungs is carried to the right auricle by way of the ductus venosus. Surgical correction of the abnormality of these cases by transplantation of one or more of the veins would have been possible. However, no case known to the authors has yet been successfully corrected.

Persistence of left superior vena cava, absence of coronary sinus and cerebral ictus

2008 ◽  
Vol 126 (2) ◽  
pp. e39-e41 ◽  
Author(s):  
Enrico Vizzardi ◽  
Francesco Fracassi ◽  
Davide Farina ◽  
Matilde Nardi ◽  
Antonio D'Aloia ◽  
...  
Keyword(s):  
Superior Vena Cava ◽  
Coronary Sinus ◽  
Superior Vena ◽  
Vena Cava ◽  
Left Superior Vena Cava

Usefulness of real-time three-dimensional trans-oesophageal echocardiography for detection of isolated unroofed coronary sinus

2014 ◽  
Vol 25 (1) ◽  
pp. 181-183 ◽  
Author(s):  
Yusuke Nakano ◽  
Mari Iwamoto ◽  
Munetaka Masuda
Keyword(s):  
Real Time ◽  
Coronary Sinus ◽  
Surgical Repair ◽  
Superior Vena ◽  
Three Dimensional ◽  
Vena Cava ◽  
Definite Diagnosis ◽  
Left Superior Vena Cava ◽  
Persistent Left Superior Vena ◽  
Unroofed Coronary Sinus

AbstractWe report a case of unroofed coronary sinus not associated with the persistent left superior vena cava. Definite diagnosis of the unroofed coronary sinus was obtained by trans-oesophageal echocardiography, which revealed the unroofed portion with left-to-right shunt. Real-time three-dimensional trans-oesophageal echocardiography could show the whole pictures of the defect, which was useful information for surgical repair.

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