Double superior vena cava (persistent left superior vena cava draining into the coronary sinus) - case report

Abstract

Abstract. A 24-year-old woman with no relevant cardiac historypresented for evaluation of palpitation and chest pain. Electrocardiographyshowed non-specific ST-T wave changes in inferior leads. Transthoracicechocardiography showed a dilated coronary sinus. The thoracic computedtomography (CT) scan with contrast showed the normal right superior vena cavaand the persistent left superior vena cava (PLSVC) draining into the rightatrium through the coronary sinus. Transthoracic echocardiography - includingagitated saline infusion to both antecubital veins - and computed tomographyare important non-invasive diagnostic tools for accurate diagnosis of this rarecongenital venous malformation. This malformation is quite frequently found,especially with the advent of cardiac ultrasound or CT, magnetic resonanceimaging (MRI). Key words: Persistent left superior vena cava, coronary sinus,retrograde cardioplegia, resynchronization therapy, echocardiography, computedtomography

Keywords

• Persistent left superior vena cava, coronary sinus, retrograde cardioplegia, resynchronization therapy, echocardiography, computed tomography

References

1. Chandra A, Reul GJ Jr. Persistent left superior vena cava. Discovered during placement of central venous catheter. Tex Heart Inst J 1998; 25: 90. Biffi M, Boriani G, Frabetti L, Bronzetti G, Branzi A. Left superior vena cava persistence in patients undergoing pacemaker or cardioverter-defibrillator implantation: a 10-year experience. Chest 2001; 120: 139-144.
2. Paval J, Nayak S. A persistent left superior vena cava. Singapore Med J 2007; 48: 90-93.
3. Erdoğan M, Karakaş P, Uygur F, et al. Persistent left superior vena cava: the anatomical and surgical importance. West Indian Med J 2007; 56: 72-76. Ying ZQ, Ma J, Xu G, Chen MY. Double superior vena cava with a persistent left superior vena cava. Intern Med 2008; 47: 679-680.
4. Goyal SK, Punnam SR, Verma G, Ruberg FL. Persistent left superior vena cava: a case report and review of literature. Cardiovasc Ultrasound 2008; 6: