Persistan sol süperior vena kava olgu sunumu

Yıl 2019, Cilt: 11 Sayı: 1, 88 - 90, 31.03.2019

Hatice Kaplanoğlu , Osman Beton Baki Hekioğlu

https://doi.org/10.21601/ortadogutipdergisi.368713

Öz

Persistan sol süperior
vena kava nadir fakat önemli bir vasküler anomalidir. Sol süperior kardinal venin
regrese olmayıp innominate vene uzanması ile oluşur. Sıklıkla izole olarak
görülür. Fakat atriyal septal defekt, bikuspit aortik kapak, aort koarktasyonu,
koroner sinüs anomalileri veya kortriatrium gibi diğer kardiyovasküler
anomalilerle ilişkili olabilir. Nefes darlığı ve atipik göğüs ağrısı şikayeti ile bize
başvuran, ekokardiyografide sol persistan superior vena kava (PSSVK) olduğu
saptanan olguya, ajite
salin kontrast ekokardiyografi yapıldı ve PSSVK anomalisi dogrulandı. İlave anomali
yönünden ileri tetkik amaçlı koroner bilgisayarlı tomografi (BT) anjiyografi
incelemesi yapıldı. PSSVK’
nın  sol atriuma açıldığı ve koroner sinüsün patent
olduğu izlendi. Olguyu literatür ve radyolojik görüntüler ışığında sunmayı amaçladık. 

Anahtar Kelimeler

persistan süperior vena kava, ekokardiyografi, bilgisayarlı tomografi

Persistent left superior vena cava: case report

Öz

Persistent
left superior vena cava is a rare but important vascular abnormality. It occurs
when the left superior cardinal vein does not regress and reaches innominate
vein. It often present as an isolated condition. However, it might be
associated to cardiovascular anomalies such as atrial septal defect, bicuspid
aortic valve, aortic coarctation, coronary sinus anomalies or cor triatrium. A
patient presenting with shortness of  breath and atypical chest pain had
been diagnosed with left persistent superior vena cava (LPSVC) on
echocardiography. Agitated salin contrast echocardiography was performed and
the LPSVC confirmed. Coronary CT angiography was performed in order to check
for additional anomalies. It was seen that the LPSVC opens to the left atrium
and the coronary sinus was patent. We aimed to present this case in the light
of literature and radiological images.

Anahtar Kelimeler

persistent superior vena cava, echocardiography, computed tomography

Kaynakça

• 1- Danielpour PJ, Aalberg JK, El-Ramey M, Sivina M, Wodnicki H. Persistent left superior vena cava:an incidental finding during central venous catheterization: a case report. Vasc Endovascular Surg 2005; 39:109–11.
• 2- Shyamkumar NK, Brown R. Double superior vena cava with a persistent left superior vena cava: an incidental finding during peripherally inserted central catheter placement. Australas Radiol 2007;51: 257–9.
• 3- Heye T, Wengenroth M, Schipp A, Johannes Dengler T, Grenacher L, Werner Kauffmann G. Persistent left superior vena cava with absent right superior vena cava: morphological CT features and clinical implications. Int J Cardiol 2007; 116:103–5.
• 4- Birnie D, Tang AS: Permanent pacing from a left ventricular vein in a patient with persistent left and absent right superior vena cava. Pacing Clin Electrophysiol 2000; 23: 2135–37.
• 5- Postema PG, Rammeloo LA, van Litsenburg R, Rothuis EG, Hruda J. Left superior vena cava in pediatric cardiology associated with extracardiac anomalies. Int J Cardiol 2008; 123: 302–6.
• 6- Uçar O, Paşaoğlu L, Ciçekçioğlu H, Vural M, Kocaoğlu I, Aydoğdu S. Persistent left superior vena cava with absent right superior vena cava: a case report and review of the literature. Cardiovasc J Afr 2010; 1:164-66.