Clinical diagnosis of persistent left superior vena cava by observation of jugular pulses

Horwitz, S; A, José Esquivel; Attié, Fause; H, Eulo Lupi; Espino-Vela, Jorge

doi:10.1016/0002-8703(73)90277-9

Cited by 13 publications

(6 citation statements)

References 9 publications

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“…Though clinical diagnosis has been used for the detection of a persistent left superior vena cava '4 and this same anomaly has been recognised by radionucide methods,'5 the mainstay of diagnosis has been angiography. Cross-sectional echocardiography has been successfully used to image a persistent left superior vena cava' [6][7][8][9][10][11][12][13][14][15][16][17][18] and there are recent case reports of recognition of azygos continuation of the inferior vena cava in older patients. '9 20 In this study, cross-sectional echocardiography approached the ideal diagnostic method in several ways.…”

Section: Discussionmentioning

confidence: 99%

Cross-sectional echocardiographic diagnosis of systemic venous return.

Huhta¹,

Smallhorn²,

Macartney³

et al. 1982

Heart

110

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To determine the sensitivity and specificity of cross-sectional echocardiography in diagnosing anomalous systemic venous return we used the technique in 800 consecutive children with congenital heart disease and whom the diagnosis was ultimately confirmed by angiography. Cross-sectional echocardiography was performed without prior knowledge of the diagnosis in all but 11 patients, who were recalled because of a known abnormality of atrial situs. The sensitivity of cross-sectional echocardiographic detection of various structures was as follows: right superior vena cava 792/792 (100%); left superior vena cava 46/48 (96%); bilateral superior vena cava 38/40 (95%); bridging innominate vein with bilateral superior vena cava 13/18 (72%); connection of superior caval segment to heart (coronary sinus or either atrium) (100%); absence of suprarenal inferior vena cava 23/23 (100%); azygos continuation of the inferior vena cava 31/33 (91%); downstream connection of azygos continuation, once seen, 21/21 (100%); partial anomalous hepatic venous connection (one hepatic vein not connected to the inferior vena cava) 1/1 (100%); total anomalous hepatic venous connection (invariably associated with left isomerism) 23/23 (100%). The specificity of each above diagnoses was 100% except in one infant with exomphalos in whom absence of the suprarenal inferior vena cava was incorrectly diagnosed. Thus cross-sectional echocardiography is an extremely specific and highly sensitive method of recognizing anomalous systemic venous return. It is therefore of great value of planning both cardiac catheterisation and cannulation for open heart surgery.

show abstract

Section: Discussionmentioning

confidence: 99%

Cross-sectional echocardiographic diagnosis of systemic venous return.

Huhta¹,

Smallhorn²,

Macartney³

et al. 1982

Heart

110

View full text Add to dashboard Cite

show abstract

“…Early diagnosis of PAC misplacement in the CS, which was overlooked preoperatively and only diagnosed postoperatively, is essential to obtain meaningful hemodynamic data from the PAC so as to avoid confusion about the patient's hemodynamic status. The diagnosis should be suspected on clinical examination of the patient before insertion of invasive monitoring when the left jugular vein is distended to a higher level than the right jugular vein [5][6][7].…”

Section: Discussionmentioning

confidence: 99%

Inadvertent placement of a pulmonary artery catheter in the coronary sinus: is it time to increase our sweep speed?

Awad

Ladson

Wingate

et al. 2011

Journal of Clinical Anesthesia

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“…LSVC is important to known before cardiothoracic surgery, as it requires special handling when a cardiopulmonary bypass or an intra-operative pace- (Horwitz et al 1973;Huggins et al 1982;Heye et al 2007). Appropriate cannulation techniques should be applied to eliminate the large amount of systemic venous blood that enters the heart through the CS (Schummer et al 2003).…”

Section: Surgicalmentioning

confidence: 99%