Document Detail


Persistent left superior vena cava draining to left atrium with normal coronary sinus.
MedLine Citation:
PMID:  15724503     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In embryology, a persistent connection of the left superior vena cava to the left atrium rarely coexists with a coronary sinus. We herein report an unusual case of persistent left superior vena cava terminating in a left atrium with normal coronary sinus, which was revealed at the time of permanent pacemaker implantation after a second operation for recurrent left atrioventricular valve regurgitation. Because this anomaly had gone undiagnosed at the first operation, we were unable to diagnose it prior to the second operation, because the preoperative coronary angiogram clearly demonstrated a coronary sinus that was not dilated. We would have repaired the anomaly using a patch or other procedure had it been diagnosed before the second operation in order to prevent cyanosis or brain complications secondary to right-to-left shunting. One should always be on guard for this rare condition.
Authors:
Yasuyuki Kato; Satoru Miyamoto; Hirokazu Minamimura; Takumi Ishikawa; Kensuke Ohue; Yoshihiro Shimizu
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Japanese journal of thoracic and cardiovascular surgery : official publication of the Japanese Association for Thoracic Surgery = Nihon Kyōbu Geka Gakkai zasshi     Volume:  53     ISSN:  1344-4964     ISO Abbreviation:  Jpn. J. Thorac. Cardiovasc. Surg.     Publication Date:  2005 Jan 
Date Detail:
Created Date:  2005-02-23     Completed Date:  2006-05-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100884261     Medline TA:  Jpn J Thorac Cardiovasc Surg     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  46-8     Citation Subset:  IM    
Affiliation:
Department of Cardiovascular Surgery, Osaka City General Hospital, Osaka, Japan.
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MeSH Terms
Descriptor/Qualifier:
Aortic Valve Insufficiency / pathology,  radiography,  surgery
Coronary Angiography
Coronary Vessel Anomalies / pathology*,  surgery
Female
Heart Atria / abnormalities,  radiography,  surgery
Heart Septal Defects, Ventricular / pathology,  radiography,  surgery
Humans
Middle Aged
Pacemaker, Artificial
Reoperation
Superior Vena Cava Syndrome / pathology*,  radiography,  surgery
Vena Cava, Superior / abnormalities*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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