Document Detail


Persistent left superior vena cava: case reports and clinical implications.
MedLine Citation:
PMID:  16318881     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report four cases of persistent left superior vena cava (LSVC) incidentally recognized during device implantation. Persistent LSVC is the commonest venous anomaly of the thorax and drains into the right atrium via the coronary sinus. Persistent LSVC demonstrates several congenital variations including variable communication with right-sided superior vena cava (SVC), absence of right-sided SVC, drainage into the left atrium creating a right to left shunt, and association with other congenital anomalies of the heart and great vessels. Abnormal persistent fetal dispersion of specialized pacemaker and conduction tissue, which occurs in some individuals with persistent LSVC, may provide an arrhythmogenic substrate. In this article we discuss embryology, diagnostic approaches, clinical features, technical difficulties in accessing the right ventricle, and a review of literature related to persistent LSVC.
Authors:
Heather L Ratliff; Mohammed Yousufuddin; Wesley R Lieving; Brent E Watson; Amer Malas; Gregory Rosencrance; Ronald J McCowan
Publication Detail:
Type:  Case Reports; Letter     Date:  2005-11-28
Journal Detail:
Title:  International journal of cardiology     Volume:  113     ISSN:  1874-1754     ISO Abbreviation:  Int. J. Cardiol.     Publication Date:  2006 Nov 
Date Detail:
Created Date:  2006-11-06     Completed Date:  2006-12-14     Revised Date:  2007-02-22    
Medline Journal Info:
Nlm Unique ID:  8200291     Medline TA:  Int J Cardiol     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  242-6     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Cardiac Pacing, Artificial / methods*
Defibrillators, Implantable
Diagnosis, Differential
Electric Countershock / methods*
Electrocardiography
Female
Fluoroscopy
Follow-Up Studies
Heart Defects, Congenital / diagnosis,  physiopathology,  therapy*
Humans
Male
Middle Aged
Pacemaker, Artificial
Retrospective Studies
Vena Cava, Superior / abnormalities*,  radiography

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


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