Diagnosis of Persistent Left Superior Vena Cava: Lessons Learned from a Recurrent Stroke Case

Abstract

Graphical abstract

The combination of coronary sinus ostial atresia/abnormalities and a small persistent left superior vena cava—Opportunity for left ventricular lead implantation and unrecognized source of thromboembolic stroke

“…One case report described a patient who suffered from a recurrent embolic stroke despite previously unrevealing comprehensive workup and ultimately revealed sPLSVC with drainage to the LA as the etiology. 16 How frequent a therapeutic catheter is placed in what appears to be sPLSVC but actually CSOA 1 sPLSVC with LA drainage print & web 4C=FPO Figure 7 sPLSVC to facilitate entry into the atretic CS ostium from the RA via snare and venoplasty (Online Supplemental Video 5). A: The CS could not be entered from the RA, and sPLSVC was identified using a 5-F vein selector.…”