Absent Right Superior Vena Cava With Left Superior Vena Cava Draining to an Unroofed Coronary Sinus

Ramos, Natália; Fernández-Pineda, Luis; Tamariz-Martel, Amalia; Villagrá, F; Egurbide, Nerea; Maitre, M

doi:10.1016/s1885-5857(06)60383-6

Cited by 13 publications

(17 citation statements)

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“…Fortunately, diagnosis of all these anomalies was made before the corrective surgery in this case. Unroofed CS is a rare congenital cardiac anomaly in which shunt occurs between the left atrium and the CS due to partial or complete defect in the CS roof . It is often associated with PLSVC and other forms of complex congenital heart disease, usually heterotaxia syndromes .…”

Section: Discussionmentioning

confidence: 99%

“…Persistent left superior vena cava (PLSVC) is the most common variation in the systemic venous system. Its incidence increases in patients with congenital heart disease, which is estimated about 2–5% . Absent right superior vena cava with PLSVC is extremely rare and commonly associated with cardiac situs anomalies .…”

Section: Introductionmentioning

confidence: 99%

“…first described the combination of a persistent left superior vena cava and unroofed coronary sinus (CS) in 1965. Right atrial isomerism and atrioventricular septal defect (AVSD) usually coexist with this complex, particularly if there is a large interatrial defect . Cor triatriatum sinister is a rare congenital cardiac anomaly in which the left atrium is subdivided into two portions by a membrane.…”

Section: Introductionmentioning

confidence: 99%

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Absent Right Superior Vena Cava with Persistent Left Superior Vena Cava Which Drains to Unroofed Coronary Sinus in a Child with Atrioventricular Septal Defect and Cor Triatriatum Sinister: Preop Correct Diagnosis and Successful Surgery in a Single Session

et al. 2013

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A B S T R A C TWe report a unique case of a 4-year-old boy with intermediate-type atrioventricular septal defect, cor triatriatum sinister, persistent left superior vena cava, unroofed coronary sinus, and absent right superior vena cava. Persistent left vena cava draining into the unroofed coronary sinus was demonstrated easily using the agitated saline-contrast echocardiography. After conformation with angiographic evaluation, surgery was performed at a single session. Roofing of the coronary sinus with polytetrafluoroethylene patch, mitral cleft repair, tricuspid annuloplasty, atrioventricular defect repair with pericardial patch, and resection of the membrane in the left atrium was succeeded without complication.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Absent Right Superior Vena Cava with Persistent Left Superior Vena Cava Which Drains to Unroofed Coronary Sinus in a Child with Atrioventricular Septal Defect and Cor Triatriatum Sinister: Preop Correct Diagnosis and Successful Surgery in a Single Session

et al. 2013

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“…The PLSVC commonly drains into the coronary sinus, but in up to 8% of patients, it might drain into the left atrium (5). It is usually asymptomatic.…”

Section: Discussionmentioning

confidence: 99%

Persistent left superior vena cava identified during central line placement: A case report

Fares

Birchard

Yankaskas

2011

Respiratory Medicine CME

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Introduction A persistent left superior vena cava is found in 0.3–0.5% of the general population and in up to 10% of patients with a congenital cardiac anomaly. It is the most common thoracic venous anomaly and is usually asymptomatic. Being familiar with such anomaly could help clinicians avoid complications during placement of central lines, Swan-Ganz catheters, PICC lines, dialysis catheters, defibrillators, and pacemakers. Case Presentation We describe a case of persistent left superior vena cava that was noted after placement of a central line. Mr JJ is a 41 year old African American man who was hospitalized for evaluation and management of alcoholic necrotizing pancreatitis. He required multiple central lines placements. He was noted to have a persistent left superior vena cava that was not recognized initially and thus lead to an unnecessary extra central line placement. Discussion This anatomic variant may pose iatrogenic risks if it is not recognized by the clinician. A central catheter that tracks down the left mediastinal border may also be in the descending aorta, internal thoracic vein, superior intercostal vein, pericardiophrenic vein, pleura, pericardium, or mediastinum. Conclusion Our case is significant because the patient had two extra central venous catheter placements. This case strongly demonstrates the importance of knowing the thoracic venous anomalies.

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“…It is found in 0.3-0.5% of the general population [1][2][3][4][5][6][7]. The reported prevalence of persistent in CHD patients varies widely according to the diagnostic tool utilized it ranges from 1.3%, 2%, 3 to 10% and in up to 12% in association with congenital heart diseases [2,5,[7][8].…”

Section: Commentmentioning

confidence: 99%

The Role of 3-Dimensional Ultrasound for the Diagnosis of LPSVC and A Review of the Literature

Ellithyb¹

2014

Gynecol Obstet(sunnyvale)

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Objective: The purpose of this article is to review the published literature and determine the rolethat3-dimensional Ultrasonography (3DUS) play in the diagnosis of LPSVC. Methods:The volume data sets were acquired with transverse sweeps through the fetal chest. Volumes were stored in the ultrasound machine's hard drive and subsequently analyzed offline.Results: PLSVC was unequivocally diagnosed and the diagnosis confirmed by postnatal US.Conclusion: 3D ultrasonography especially power Doppler imaging made it possible to unequivocally confirm the diagnosis of the LPSVC and demonstrate LPSVC entering the dilated coronary sinus. The images obtained made it easy to explain this anomaly to the patient. This case of isolated LPSVC in a 30 -week fetus demonstrates the added value of 3D ultrasonography and especially 3D power colour in fetal echocardiography. Case PresentationA 39-year-old woman, gravida 2 para 1, presented at 30 weeks' gestation for detailed targeted organ scanning with fetal echocardiography, after having received contradictory opinions concerning a suspected atrioventricular canal defect during previous ultrasound examinations. Karyotype, which had been tested because of advanced maternal age, was normal. Targeted organ scanning for exclusion of fetal anomalies was performed, including complete fetal echocardiography 2 and 3 D US and coulor Doppler and 3 D Power Doppler power imaging (Figures 1-3).In the present case, the initial diagnosis of LPSVC was made on observation of a dilated coronary sinus and an extraneous vessel identified to the left of the ductal arch in the three-vessels and trachea (3VT) view of the fetal heart ( Figures 1E ,F and 3D).We performed ultrasound examinations using a GE Voluson 730 pro. (Voluson 730, GE Healthcare, Milwaukee, WI, USA) using a 3-5-MHz mechanical volume transabdominal transducer). The volumes were stored and subsequently analyzed offline.Meticulous inspection of the fetal anatomy did not reveal any associated cardiac or extra cardiac anomalies and fetal growth was on the 50th centile. A male neonate was spontaneously delivered at38 weeks of gestation with a birth weight of 3150 g with Apgar scores of 8, 9 and 10 at 1,5 and 10 min, respectively. Postnatal adaptation was uneventful. Postnatal echocardiography confirmed the prenatal diagnosis.3D power Doppler imaging made it possible to unequivocally confirm the diagnosis of the LPSVC and demonstrate LPSVC entering the dilated coronary sinus (Figures 1 and 3). The images obtained made it easy to explain this anomaly to the patient. This case of isolated LPSVC in a 30-week fetus demonstrates the added value of power colour Doppler 3D in fetal echocardiography.It appears that 3Dpower Doppler imaging applications will make a significant contribution to our understanding of the developing fetal heart in both normal and anomalous cases, to interdisciplinary management team consultation, to parental counselling, and to professional training CommentPersistent left superior vena cava is a rare but is the most...

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Absent Right Superior Vena Cava With Left Superior Vena Cava Draining to an Unroofed Coronary Sinus

Cited by 13 publications

References 10 publications

Absent Right Superior Vena Cava with Persistent Left Superior Vena Cava Which Drains to Unroofed Coronary Sinus in a Child with Atrioventricular Septal Defect and Cor Triatriatum Sinister: Preop Correct Diagnosis and Successful Surgery in a Single Session

Absent Right Superior Vena Cava with Persistent Left Superior Vena Cava Which Drains to Unroofed Coronary Sinus in a Child with Atrioventricular Septal Defect and Cor Triatriatum Sinister: Preop Correct Diagnosis and Successful Surgery in a Single Session

Persistent left superior vena cava identified during central line placement: A case report

The Role of 3-Dimensional Ultrasound for the Diagnosis of LPSVC and A Review of the Literature

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