Document Detail

Isolated right superior vena cava drainage into the left atrium diagnosed noninvasively in the peripartum period.
MedLine Citation:
PMID:  20069093     Owner:  NLM     Status:  MEDLINE    
Isolated right superior vena cava drainage into the left atrium is an extremely rare cardiac anomaly, especially in the absence of other cardiac abnormalities. Only 28 of 5,127 reported consecutive congenital cardiac cases involved superior vena cava drainage into the left atrium, and all were associated with other cardiac anomalies. Of 19 reported cases of right superior vena cava drainage into the left atrium, most patients have been children who were experiencing mild hypoxemia and cyanosis. Herein, we describe the case of a 34-year-old woman who presented with asymptomatic hypoxemia in the peripartum period. She was diagnosed to have isolated drainage of the right superior vena cava into the left atrium. To the best of our knowledge, this is the 1st reported instance of such diagnosis by use of noninvasive imaging only, without cardiac catheterization. We also review the medical literature that pertains to our patient's anomaly.
Charles Baggett; Shawn J Skeen; D Scott Gantt; Bradley R Trotter; Krista L Birkemeier
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Texas Heart Institute journal / from the Texas Heart Institute of St. Luke's Episcopal Hospital, Texas Children's Hospital     Volume:  36     ISSN:  1526-6702     ISO Abbreviation:  Tex Heart Inst J     Publication Date:  2009  
Date Detail:
Created Date:  2010-01-13     Completed Date:  2010-02-22     Revised Date:  2013-05-29    
Medline Journal Info:
Nlm Unique ID:  8214622     Medline TA:  Tex Heart Inst J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  611-4     Citation Subset:  IM    
Department of Internal Medicine, Scott & White Hospital, Texas A&M Health Science Center College of Medicine, Temple, Texas 76508, USA.
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MeSH Terms
Anoxia / etiology
Cesarean Section
Fetal Distress
Heart Atria / abnormalities*
Heart Defects, Congenital / complications,  diagnosis*
Magnetic Resonance Imaging, Cine
Perfusion Imaging
Pregnancy Complications, Cardiovascular / diagnosis*
Vena Cava, Superior / abnormalities*
Comment In:
Tex Heart Inst J. 2010;37(2):255   [PMID:  20401313 ]

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