Document Detail

A surgical case of combined valvular disease complicated by absent right superior vena cava and persistent left superior vena cava.
MedLine Citation:
PMID:  15003104     Owner:  NLM     Status:  MEDLINE    
A 74-year-old man with combined valvular disease with a recent cerebral infarction was admitted. While undergoing thorough examination for valvular disease, absent right superior vena cava (RSVC) and persistent left superior vena cava (PLSVC) were recognized. Chest X-ray film suggested a right arch protrusion, and CT and venogram confirmed the diagnosis. During surgery, replacement of the mitral and aortic valves and annuloplasty of the tricuspid valve were performed. A blood draining cannula was inserted in retrograde fashion from the coronary sinus into the PLSVC, without any difficulties in the tricuspid valve repair. Due to bradycardic atrial fibrillation, we believed that it would be difficult to insert an endocardial electrode postoperatively, hence myocardial electrode was placed in the right ventricular wall. Absent RSVC combined with PLSVC is very rare, and a patient who underwent combined valve surgery with this rare anatomical abnormality is herein presented.
Yoichi Sato; Hitoshi Yokoyama; Masaaki Watanabe; Osami Hamada
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia     Volume:  9     ISSN:  1341-1098     ISO Abbreviation:  Ann Thorac Cardiovasc Surg     Publication Date:  2003 Dec 
Date Detail:
Created Date:  2004-03-08     Completed Date:  2004-04-15     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9703158     Medline TA:  Ann Thorac Cardiovasc Surg     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  401-5     Citation Subset:  IM    
Department of Cardiovascular Surgery, Fukushima Medical University School of Medicine, Fukushima, Japan.
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MeSH Terms
Heart Valve Diseases / surgery*
Heart Valve Prosthesis Implantation*
Vena Cava, Superior / abnormalities*

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

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