Right Superior Vena Cava Draining into the Left Atrium

Usalp, Songül

doi:10.23937/2378-3656/1410134

Cited by 5 publications

(14 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…There are several cases of this defect in association with other congenital heart defects and heterotaxy, but through our review only 42 cases of this as an isolated anomaly have been reported in the English literature to date 1,3‐43 . Table 1 summarizes the reported cases as case number, year of publication, first author, age and gender of patient, presentation, method of diagnosis, and the outcome.…”

Section: Discussionmentioning

confidence: 99%

Isolated right superior vena cava drainage into the left atrium: An uncommon cause of persistent hypoxia in a neonate

et al. 2020

View full text Add to dashboard Cite

This report describes the case of a 13-day-old African American female with persistent hypoxia found to have an isolated right superior vena cava (RSVC) draining into the left atrium (LA) confirmed with contrast echocardiography. K E Y W O R D S hypoxia, left atrium, neonate, right superior vena cava How to cite this article: Gulati R, Smith T, Siow M, Batten L. Isolated right superior vena cava drainage into the left atrium: An uncommon cause of persistent hypoxia in a neonate.

show abstract

Section: Discussionmentioning

confidence: 99%

Isolated right superior vena cava drainage into the left atrium: An uncommon cause of persistent hypoxia in a neonate

et al. 2020

View full text Add to dashboard Cite

show abstract

“…It is far more often encountered in conjunction with other heart defects. In the majority of cases, reports were on patients that presented with cyanosis, clubbed fingers, dyspnoea, brain abscesses or emboli in well-vascularized organs [2,3]. We found only 3 case reports on asymptomatic patients.…”

mentioning

confidence: 88%

Pathological drainage of the right superior vena cava into the left atrium diagnosed in a 37-year-old patient in postpartum period: a case report

Krysiak-Neneman¹,

Stefańska-Wronka²,

Galicki³

et al. 2014

Anaesthesiol Intensive Ther

View full text Add to dashboard Cite

Sir, We would like to report the case of a 37-year-old patient with an undiagnosed heart defect, admitted to the Intensive Care Unit (ICU) with acute respiratory failure and suspicion of pulmonary embolism (PE) after a caesarean section performed one day earlier, in the 34 th week of her 4 th pregnancy. Eventually, the diagnosis of isolated drainage of the right superior vena cava (RSVC) to the left atrium (LA) was made.Our patient had a history of two caesarean sections, one miscarriage, gestational diabetes, pregnancy-induced hypertension, obesity and erythrocythaemia. Initially, the patient was sent to the Obstetrics Department by her general practitioner because of a deterioration in her blood pressure (BP) control. On admission, the patient additionally presented upper respiratory tract infection (URTI) symptoms (voice hoarseness for a week and 2-day history of low-grade fever), dyspnoea on effort and peripheral oedema (ankles and feet). BP on admission was 160/100 mm Hg, Hb 17.1 g dL -1 , Ht 50%, RBC 5.4 T L -1 , PLT 108 G L -1 , WBC 11.9 G L -1 , fibrinogen 2.6 g L -1 . Urea, creatinine, Na, K, aPPT, PT, AST, ALT, ALP, uric acid and bilirubin levels were within normal ranges. The results of arterial blood gas analysis (ABG) were as follows: paO 2 52 mm Hg, paCO 2 30 mm Hg, sO 2 87%, BE -3.1 mmol L -1 . Other parameters were normal. In urinanalysis, bacteriuria, significant leucocyturia and proteinuria (9.68 g L -1 ) were discovered. A chest ultrasound showed nothing significant. During a spirometry, only PEF was below the normal value. The patient was treated with cefuroxime, betamethasone (to stimulate foetal respiratory system maturation), magnesium sulphate, diazepam, inhaled budesonide and supplemental oxygen. As after 4 days her condition had not improved, she was sent to University Gynaecology and Obstetrics Hospital with suspected preeclampsia and PE. In laboratory tests on admission, CBC and coagulogram did not change significantly, there was no troponin elevation, while procalcitonin was 0.17 ng mL -1 , and d-dimmer 731 ng mL -1 (the highest value was 1124 ng mL -1 -two days after admission). A chest X-ray showed opacities in right lower pulmonary region. She was treated with magnesium sulphate, methyldopa, nitrendipine, metoprolol, a subtherapeutical dose of enoxaparin and continued cefuroxime. In the 2 nd day of hospitalization dyspnoea, tachypnoea, retrosternal chest pain and numbness of the upper extremities were observed. BP was 170/110 mm Hg, SpO 2 90% with supplemental oxygen, paO 2 60 mm Hg, paCO 2 33 mm Hg. Markers of myocardial necrosis were at normal ranges. Although the next day her symptoms had improved, lower abdominal pain and vaginal bleeding occurred. An urgent caesarean delivery under general anaesthesia was performed. Intraoperatively, abruption of 25% of the placental surface was discovered. A hypotrophic female infant with an Apgar score of 8 in the 1 st minute and 10 in the 5 th minute was delivered. Evaluated blood loss was 500 mL. Although after the surgery the patient was...

show abstract

“…6 -59 It is seen concomitantly with intracardiac anomalies such as atrial or ventricular septal defects, single atrium, tetralogy of Fallot, transposition of the great arteries, functionally univentricular heart, and Eisenmenger complex. 6 …”

Section: Incidencementioning

confidence: 99%

“…Other presenting symptoms were dyspnea, seizures, headache due to meningitis, cardiomegaly, and congestive heart failure. 7 ,9 -49…”

Section: Diagnosismentioning

confidence: 99%

“…Diagnosis is usually made by saline contrast echocardiography, radionuclide angiography, magnetic resonance imaging, computed tomographic angiography, conventional angiocardiography, or during placement of central venous catheter. 45 ,64,65 Saline contrast echocardiography is very useful in the differential diagnosis. Contrast visualization of the LA, left ventricle, and aorta without opacification of the right ventricle with injections into veins of both hands suggests either drainage of the right SVC to the LA or persistence of the left SVC with unroofing of the coronary sinus.…”

Section: Diagnosismentioning

confidence: 99%

See 1 more Smart Citation

A Review of the Surgical Management of Anomalous Connection of the Right Superior Caval Vein to the Morphologically Left Atrium and Biatrial Drainage of Right Superior Caval Vein

Chowdhury

Anderson

George

et al. 2020

World J Pediatr Congenit Heart Surg

View full text Add to dashboard Cite

The present perspective is a synthesis of published investigations in the setting of anomalous connection of the right superior caval vein to the morphologically left atrium or biatrial drainage of the right caval vein. We identified 57 suitable cases from 97 investigations, reviewing the clinical presentation, diagnostic modalities utilized, surgical techniques used, and their outcomes. Clinical presentation, radiographic findings, saline contrast echocardiography, computed tomographic angiocardiography, radionuclide perfusion scan, magnetic resonance imaging, and angiocardiography provided the diagnostic information and were used to define the disease entities before surgery. We have also addressed several issues concerning the influence of the so-called heterotaxy: the establishment of the diagnosis, the variation in clinical presentation, and subsequent management. For the overall group of patients undergoing either surgical intervention or transcatheter treatment with an Amplatzer vascular plug, the operative mortality remains high at 9.5%. We submit that an increased appreciation of these disease entities will contribute to improved future surgical management.

show abstract

Right Superior Vena Cava Draining into the Left Atrium

Cited by 5 publications

References 0 publications

Isolated right superior vena cava drainage into the left atrium: An uncommon cause of persistent hypoxia in a neonate

Isolated right superior vena cava drainage into the left atrium: An uncommon cause of persistent hypoxia in a neonate

Pathological drainage of the right superior vena cava into the left atrium diagnosed in a 37-year-old patient in postpartum period: a case report

A Review of the Surgical Management of Anomalous Connection of the Right Superior Caval Vein to the Morphologically Left Atrium and Biatrial Drainage of Right Superior Caval Vein

Contact Info

Product

Resources

About