Complete right-to-left shunt on lung perfusion SPECT results in the
                        detection of a persistent left vena cava superior draining to the left
                        atrium

Abstract Background While it is the most common thoracic venous anomaly, a persistent left vena cava superior may present in atypical variations, which are important to consider during clinical management. Case presentation Here we report a 35-year-old Caucasian female patient with drainage into the left atrial appendage who presented with shortness of breath accompanied by mild hypoxemia. Venous contrast filling in the context of pulmonary scintigraphy suspected an additional superior caval vein connected to the left atrial appendage. Diagnosis was confirmed by transesophageal echocardiography. Cardiac catheterization revealed a minor right-to-left shunt. The symptoms could be allocated to a bronchial asthma and treated according to guidelines. Cerebral lesions detected in the patient were due to a coincident multiple sclerosis rather than cerebral embolisms. Thus, the venous anomaly was classified as an incidental finding currently requiring no treatment. Conclusions To the best of our knowledge, this is the first report of a persistent left vena cava superior draining into the left atrial appendage.

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Neurological Symptoms as a Showcase of the Inborn Anomaly in a Development of the Arterial and Venous Vessels (Case Report)

Medical Visualization ◽

10.24835/1607-0763-2017-6-25-29 ◽

2017 ◽

pp. 25-29

Author(s):

A. I. Tyunibabyan ◽

A. A. Mukhin

Keyword(s):

Case Report ◽

Aortic Arch ◽

Special Interest ◽

Vascular System ◽

Vena Cava ◽

Diagnostic Methods ◽

Vena Cava Superior ◽

Left Vena ◽

Cardio Vascular ◽

Combined Defects

Inborn specific anomalies in the development of the cardio-vascular system require strong attention from physicians of many specialties, especially during diagnosing process. The results of all available diagnostic methods of patient examination determine the further treatment tactic. This tactic implying an individual approach to a specific pathology. There are some cases of combined defects of both, the arterial as well as the venous systems, which appealing special interest. This article describes case report of such anomalies in the structure of the vascular system. This case shown in the form of congenital inflection of the aortic arch with true coarctation and the persistent left vena cava superior.

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Intravascular and intracardiac blood temperatures in man

Journal of Applied Physiology ◽

10.1152/jappl.1962.17.4.706 ◽

1962 ◽

Vol 17 (4) ◽

pp. 706-708 ◽

Cited By ~ 22

Author(s):

Skoda Afonso ◽

George G. Rowe ◽

Cesar A. Castillo ◽

Charles W. Crumpton

Keyword(s):

Pulmonary Artery ◽

Inferior Vena Cava ◽

Left Atrium ◽

Superior Vena Cava ◽

Right Atrium ◽

Inferior Vena ◽

Superior Vena ◽

Vena Cava ◽

Vena Cava Superior ◽

Made In

Intracardiac and intravascular blood temperatures were measured in a group of 17 afebrile patients undergoing cardiac catheterization. Using a cardiac catheter with a thermistor mounted at the tip, measurements were made in the following locations: different levels of the inferior vena cava, the superior vena cava, the renal, hepatic, and internal jugular veins, the right atrium, pulmonary artery and pulmonary artery wedge position, coronary sinus and right ventricle, and the left atrium and pulmonary veins (in subjects with atrial septal defects or patent foramen ovale). Data obtained confirm and extend observations made by other investigators. The blood temperature in the pulmonary artery, pulmonary artery wedge, left atrium, and pulmonary vein were found to be very nearly the same. Furthermore, temperature recordings made in different sites of the inferior vena cava, superior vena cava, right atrium, and pulmonary artery show variations phasic with respiration. The mechanism of these thermal variations is discussed. Submitted on February 5, 1962

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Persistence of the Left Vena Cava Superior, with Report of a Case

Acta Pathologica Microbiologica Scandinavica ◽

10.1111/j.1699-0463.1944.tb04952.x ◽

2009 ◽

Vol 21 (3) ◽

pp. 411-417 ◽

Cited By ~ 3

Author(s):

Dodil Dohn

Keyword(s):

Vena Cava ◽

Vena Cava Superior ◽

Left Vena

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Total Anomalous Systemic Venous Drainage with Heterotaxia Syndrome: A Rare Case

Case Reports in Cardiology ◽

10.1155/2014/392841 ◽

2014 ◽

Vol 2014 ◽

pp. 1-2

Author(s):

Ali Yildirim ◽

Pelin Kosger ◽

Gokmen Ozdemir ◽

Birsen Ucar ◽

Zubeyir Kilic

Keyword(s):

Left Atrium ◽

Unusual Case ◽

Inferior Vena ◽

Vena Cava ◽

Venous Drainage ◽

Vena Cava Superior ◽

Echocardiographic Examination ◽

Anomalous Systemic Venous Drainage ◽

Systemic Venous Return ◽

Atrial Isomerism

Total anomalous systemic venous return is a very rare anomaly, where vena cava inferior, vena cava superior, and coronary sinus drain into left atrium. Two-day-old male baby was admitted with cyanosis and tachypnea after the birth. Left atrial isomerism with anomalous systemic venous drainage was found on echocardiographic examination. We present an unusual case of total anomalous systemic venous drainage in to the left atrium.

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A case of a persistent left vena cava superior with atresia of the right atrial ostium of the coronary sinus

Annals of Anatomy - Anatomischer Anzeiger ◽

10.1016/s0940-9602(00)80082-5 ◽

2000 ◽

Vol 182 (2) ◽

pp. 191-194 ◽

Cited By ~ 14

Author(s):

Jürgen Giebel ◽

Jochen Fanghänel ◽

Sebastian Hauser ◽

Irmfried Paul

Keyword(s):

Coronary Sinus ◽

Vena Cava ◽

Right Atrial ◽

Vena Cava Superior ◽

Left Vena ◽

The Right

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Prävention von Katheterthrombosen mit niedermolekularen Heparinen

Hämostaseologie ◽

10.1055/s-0037-1619554 ◽

2002 ◽

Vol 22 (04) ◽

pp. 161-166 ◽

Cited By ~ 1

Author(s):

Ch. Lersch

Keyword(s):

Vena Cava ◽

Niedermolekulare Heparine ◽

Hohes Lebensalter ◽

Vena Cava Superior

ZusammenfassungInfektionen und Thrombosen sind die häufigsten Komplikationen bei zentralvenösen Kathetern (ZVK). Das Auftreten von katheterinduzierten Thrombosen kann durch das Material (z. B. Silikon und Polyurethan), geringe Dicke, bestimmte ZVK-Systeme, Vermeidung von Infektionen, korrekte Lage der ZVK-Spitze in der unteren Vena cava superior und durch kurze Liegedauer deutlich vermindert werden. Dagegen sind Thrombosefördernde, Katheter-unabhängige Faktoren (z. B. Tumorerkrankung), hohes Lebensalter, zusätzliche Strahlen- und Chemotherapie schwerer beeinflussbar. Neben Katheterbeschichtung, oralen Antikoagulanzien, Thrombozytenaggregationshemmern und Urokinase werden unfraktionierte und vor allem niedermolekulare Heparine zur Thromboseprophylaxe eingesetzt. Nach den positiven Ergebnissen der Studie von Monreal, einer multizentrischen Beobachtungsstudie und einer eigenen retrospektiven Analyse bei Patienten mit Portsystemen erhalten alle eigenen Patienten mit fortgeschrittenen gastrointestinalen Tumoren und palliativer Chemotherapie eine konsequente Prophylaxe mit NMH über mindestens 90 Tage. Mögliche zusätzliche Antitumoreffekte der NMH werden zurzeit evaluiert.

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