Persistent Left Superior Vena Cava: What the Interventional                     Nephrologist Needs to Know

Granata, Antonio; Andrulli, Simeone; Fiorini, Fulvio; Logias, Francesco; Figuera, Michele; Mignani, Renzo; Basile, Antonio; Fiore, Carmelo Erio

doi:10.1177/112972980901000313

Cited by 42 publications

(45 citation statements)

References 18 publications

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“…According to the different regions of the heart to which they connect, PLSVCs are generally divided into three types. Type I drains into the CS and is the most common type, accounting for 80% to 92% of cases (3)(4)(5). Type II drains into the left atrium, and type III links to the pulmonary vein.…”

Section: Discussionmentioning

confidence: 99%

“…Although PLSVC represents the most common congenital venous anomaly of the thoracic systemic venous return, the incidence is only approximately 0.3% in the general population (1,2). Approximately 80-92% of PLSVCs drain into the right atrium through the coronary sinus [CS (3)(4)(5)]. This report describes a rare case of PLSVC in which the CS did not open into the right atrium, but rather drained into the left subclavian vein through the PLSVC.…”

Section: Introductionmentioning

confidence: 99%

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Coronary Sinus Draining into the Left Subclavian Vein through a Persistent Left Superior Vena Cava

Yang

Zheng

et al. 2013

Intern. Med.

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A persistent left superior vena cava (PLSVC) is formed by the remains of the oblique vein of the left atrium, which is not completely degenerated during embryonic development. The incidence is approximately 0.3% in the general population. Approximately 80-92% of PLSVCs drain into the right atrium through the coronary sinus. This report describes a rare case of PLSVC in which the coronary sinus (CS) did not open into the right atrium, but rather drained into the left subclavian vein through the PLSVC.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Coronary Sinus Draining into the Left Subclavian Vein through a Persistent Left Superior Vena Cava

Yang

Zheng

et al. 2013

Intern. Med.

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“…This condition results from failure of the left anterior cardinal vein to degenerate during embryological development. Serious complications such as shock, arrhythmias, angina and cardiac arrest have been described during catheterisation of adults with PLSVC 2. Catheterisation of this vessel including haemodialysis catheter placement appears to be safe if its drainage into the right atrium is ensured 3.…”

Section: Introductionmentioning

confidence: 99%

Catheterisation of a persistent left superior vena cava

et al. 2018

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We present a case of a 62-year-old woman with end-stage renal disease who displayed a persistent left superior vena cava detected following placement of haemodialysis catheter through the left internal jugular vein (IJV). The diagnosis was confirmed by left internal jugular vein cathetogram, computed tomography (CT) thorax and transthoracic echocardiography. The catheter was removed without immediate complications. She remained well during the outpatient follow-up.

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“…Здесь мы опишем взрослого пациента с сохранной левой верхней полой веной, выявленной в ходе эхокардиографии, сделанной 57-лет-нему пациенту мужского пола с пароксизмальной атриовентрикулярной узло-вой возвратной тахикардией (AVNRt), который был госпитализирован в карди-ологическое отделение на регулярной основе для проведения исследования. defect, ventricular septal defect, aortic coarctation, transposition of the great vessels, tetralogy of Fallot, anomalous connections of the pulmonary veins or single atrium [1,2,3]. In 90% of cases blood from PLSVC flows into the coronary sinus and then to the right atrium.…”

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Persistent Left Superior Vena Cava in Patient With Paroxysmal Atrioventricular Nodal Reentrant Tachycardia

Kuczaj

Stryjewski²,

Tomasik

et al. 2016

Russ J Cardiol

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A 57-year-old male patient with paroxysmal atrioventricular nodal reentrant tachycardia (AVNRT) was admitted to a cardiac ward on a regular basis for ablation procedure. The patient's history revealed fast heart rate episodes for several years, arterial hypertension treated for five years, hyperlipidemia and peptic ulcer disease. Physical examination showed a regular heart rate of 70bpm, quiet systolic murmur over the mitral valve and normal breath sounds. Resting ECG showed no abnormalities. A routine transthoracic echocardiography revealed concentric left ventricular wall thickening and moderate mitral valve regurgitation. Special attention was paid to an untypical accessory structure detected in the left atrium area (Figure 1). Transthoracic echocardiography was performed in order to expand the diagnostic process. The investigation showed the vessel directly adjacent to the left atrium. The doppler examination showed flow inside the structure, yet without a visible connection with the left atrial cavity (Figure 2). A congenital venous anomaly was suspected in the form of persistent left superior vena cava. X-ray fluoroscopy was done to confirm the type of the anomaly. Administration of contrast into the peripheral vein of the left superior limb resulted in visualization of the investigated structure followed by visualization of the coronary sinus. Electrophysiological examination was done due to AVNRT previously documented in ambulatory ECG investigations. Programmed atrial stimulation repetitively induced nodal reentrant tachycardia with a ventricular rate of 140bpm. Radiofrequency ablation of slow pathway modified the conduction and caused a lack of inducibility of the tachycardia in control programmed stimulation.Persistent left superior vena cava (PLSVC) is a rarely occurring congenital anomaly with the incidence of 0.3% in general population [1]. In the majority of cases the anomaly is asymptomatic, but it is frequently (12%) accompanied by other malformations such as atrial septal Стойкая левая верхняя полая вена (PLSVC) является редко встречающейся врожденной аномалией с частотой 0,3% в общей популяции. Это приводит к аномалии с сохранением левой передней кардинальной вены. В 90% случаев кровь из PLSVC впадает в коронарный синус и затем в правое предсердие. Это может осложнить размещения центральных венозных катетеров в яремной и подключичной венах и, об этом анатомическом варианте кардиологи должны быть осведомлены. Здесь мы опишем взрослого пациента с сохранной левой верхней полой веной, выявленной в ходе эхокардиографии, сделанной 57-лет-нему пациенту мужского пола с пароксизмальной атриовентрикулярной узло-вой возвратной тахикардией (AVNRt), который был госпитализирован в карди-ологическое отделение на регулярной основе для проведения исследования. Ключевые слова: стойкая левая верхняя полая вена, пароксизмальная атри-овентрикулярная узловая реентерабельная тахикардия.

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Persistent Left Superior Vena Cava: What the Interventional Nephrologist Needs to Know

Cited by 42 publications

References 18 publications

Coronary Sinus Draining into the Left Subclavian Vein through a Persistent Left Superior Vena Cava

Coronary Sinus Draining into the Left Subclavian Vein through a Persistent Left Superior Vena Cava

Catheterisation of a persistent left superior vena cava

Persistent Left Superior Vena Cava in Patient With Paroxysmal Atrioventricular Nodal Reentrant Tachycardia

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