Case of persistent left superior vena cava draining via the left atrium with a normal coronary sinus utilizing cardiac CT

Erik Middlebrooks*, David Wymer, Arun Chandran

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

With an estimated incidence of ∼0.5%-2% of the population and 10% of patients with congenital heart disorders, persistent LSVC is the most common venous anomaly of the chest. Most drain via the right atrium. Rarely (7.5% of cases), the persistent LSVC may drain directly into the left atrium. These are typically seen with a coronary sinus type atrial septal defect with many investigators believing that, embryologically, a normal coronary sinus cannot exist in the setting of a persistent LSVC draining into the left atrium. There have been few case reports of this in the setting of a normal coronary sinus. With the assistance of cardiac CT, we were able to show the existence of this rare entity. The CT images provided guidance for a successful endovascular repair.

Original languageEnglish (US)
Pages (from-to)289-291
Number of pages3
JournalJournal of cardiovascular computed tomography
Volume6
Issue number4
DOIs
StatePublished - Jul 2012
Externally publishedYes

Keywords

  • Persistent left superior vena cava

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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