Hostname: page-component-cd9895bd7-q99xh Total loading time: 0 Render date: 2024-12-27T09:11:48.843Z Has data issue: false hasContentIssue false

Diagnosis, management, and follow-up of systemic venous drainage via a single left superior caval vein into the left atrium

Published online by Cambridge University Press:  20 November 2006

Jean-Marc Schleich
Affiliation:
Département de cardiologie et de maladies vasculaires, Centre Cardio-Pneumologique, Hôpital de Pontchaillou, Rennes, France
Ons Azzabi
Affiliation:
Service de néonatologie, Fédération de Pédiatrie, CHU, Rennes, France
Claude Almange
Affiliation:
Département de cardiologie et de maladies vasculaires, Centre Cardio-Pneumologique, Hôpital de Pontchaillou, Rennes, France

Abstract

A 15-month-old boy presented with asymptomatic hypoxaemia due to right-to-left venous shunting via a left superior caval vein emptying into the left atrium, in absence of right superior caval vein. The diagnosis, suspected by contrast echocardiography, was confirmed by computed tomography and angiography. The child underwent surgical correction of the systemic anomalous return by tunnelling the left superior caval vein towards the right atrium. An asymptomatic narrowing inside the intra-atrial baffle developed 6 months later.

Type
Brief Report
Copyright
© 2006 Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Miraldi F, di Gioia CRT, Proietti P, De Santis M, d'Amati G, Gallo P. Cardinal Vein isomerism. An embryological hypothesis to explain a persistent left superior vena cava draining into the roof of the left atrium in the absence of coronary sinus and atrial septal defect. Cardiovasc Path 2002; 11: 149152.Google Scholar
Leclerc F, Foulard M, Nuyts J-P, Dupuis C. Abcès cérébral par anomalie du retour cave. Arch Franç Péd 1977; 34: 10011007.Google Scholar
Fraser RS, Dvorkin J, Rossall RE, Eidem R. Left Superior Vena Cava. A review of Associated Congenital Heart Lesions, Catheterization Data and Roentgenologic Findings. Am J Med 1961; 31: 711716.Google Scholar
Kabbani SS, Feldman M, Angelini P, Leachman RD, Cooley DA. Single (left) superior vena cava draining into the left atrium. Ann Thor Surg 1973; 16: 518525.Google Scholar
Choi JY, Anderson RH, Macartney FJ. Absent right superior caval vein (vena cava) with normal arrangement. Br Heart J 1987; 57: 474478.Google Scholar
Tuchman H, Brown JF, Huston JH, Weinstein AB, Rowe GG, Crumpton CW. Superior Vena Cava Draining into Left Atrium. Am J Med 1956; 21: 481484.Google Scholar
Sherafat M, Friedman S, Walhausen JA. Persistant Left Superior Vena Cava Draining into the Left Atrium with Absent Right Superior Vena Cava. Ann Thor Surg 1971; 11: 160164.Google Scholar
Moss A. Heart Disease in Infants, Children, and Adolescents, Including the Faetus and Young Adult, 5th Edn. Williams and Wilkins, Baltimore, Maryland, USA, 1995, pp 878881.
Truman AT, Rao PS, Kulangara RJ. Use of contrast echocardiography in diagnosis of anomalous connection of right superior vena cava to left atrium. Br Heart J 1980; 44: 718723.Google Scholar
Anderson RH, Baker EJ, Macartney FJ, Rigby ML, Shinebourne EA, Tynan M. Paediatric Cardiology, 2nd Edn. Churchill Livingstone, London, Edinburgh, New York, 2002, pp 857858.