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Isolated total anomalous systemic venous drainage in an adult: case report
Vimalarani Devendran1, Roy Varghese, Krishnaya Gudeboyana
1Paediatric Cardiology, Institute of Cardiovascular Diseases, The Madras Medical Mission, 4A, Dr. J. J. Nagar, Mogappair, Chennai, 600037, Tamil Nadu, India.
Insights
Total anomalous systemic venous drainage, a rare congenital heart defect, involves all body venous blood flowing into the left atrium. This case report details a unique presentation successfully treated with surgery.
Area of Science:
- Cardiology
- Pediatric Cardiology
- Congenital Heart Disease
Background:
- Total anomalous systemic venous drainage is a rare congenital heart defect.
- It is characterized by abnormal drainage of all systemic venous blood into the left atrium.
- This condition necessitates a shunt for survival, often associated with heterotaxy syndromes.
Observation:
- This report details a unique presentation of TASVD.
- The patient exhibited an unusual anatomical configuration of the anomalous drainage.
- Associated heterotaxy syndromes were considered.
Findings:
- The patient's unique TASVD was successfully diagnosed.
- Surgical intervention was performed to correct the anomaly.
- The surgical outcome was positive, indicating successful correction.
Implications:
- This case highlights the importance of recognizing rare congenital heart anomalies.
- Successful surgical correction offers hope for patients with complex TASVD.
- Further research into TASVD variations and surgical techniques is warranted.
Abstract:
Total anomalous systemic venous drainage is a rare form of congenital heart disease. All the systemic venous flow from the body (i.e., from the superior vena cava, inferior vena cava, and coronary sinus) drains abnormally into the left atrium. This condition requires the presence of a left-to-right shunt (atrial septal defect, patent ductus arteriosus, or ventricular septal defect) to allow the systemic venous return to reach the pulmonary circulation. This disorder may be associated with heterotaxy syndromes. This report describes a patient with unique total anomalous systemic venous drainage that was successfully corrected surgically.
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