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Published on: January 13, 2023
Persistent left superior vena cava, absence of the innominate vein, and upper sinus venosus defect : a rare anomaly
I Akpinar1, M R Sayin, T Karabag
1Faculty of Medicine, Department of Cardiology, Bulent Ecevit University, 67600, Kozlu/Zonguldak, Turkey. dr.ibrahimakpinar@gmail.com
Insights
Persistent left superior vena cava, a rare congenital anomaly, was diagnosed alongside an upper sinus venosus defect and absent innominate vein. This extremely rare combination was identified using a bubble study and confirmed with magnetic resonance imaging.
Area of Science:
- Cardiology
- Thoracic Surgery
- Medical Imaging
Background:
- Congenital heart defects frequently involve superior vena cava anomalies.
- Persistent left superior vena cava is the most common thoracic venous anomaly.
- Combinations of specific superior vena cava anomalies with other cardiac defects are exceptionally rare.
Observation:
- A patient presented with a rare combination of congenital anomalies.
- The anomalies included a persistent left superior vena cava, an upper sinus venosus defect, and absence of the innominate vein.
- Diagnostic procedures involved a bubble study and magnetic resonance imaging.
Findings:
- The study confirms an extremely rare coexistence of persistent left superior vena cava, upper sinus venosus defect, and absent innominate vein.
- Diagnostic imaging successfully identified these complex thoracic venous anomalies.
- This case highlights the utility of bubble studies and MRI in diagnosing rare cardiac malformations.
Implications:
- Accurate diagnosis of rare venous anomalies is crucial for appropriate patient management.
- This case expands the understanding of the spectrum of superior vena cava malformations.
- Advanced imaging techniques are vital for characterizing complex congenital cardiac defects.
Abstract:
Superior vena cava anomalies are rare malformations that are typically seen with other congenital cardiac defects. Although a persistent left superior vena cava is the most common anomaly of the systemic venous return in the thorax, its combination with an upper sinus venosus defect and absence of the innominate vein is extremely rare. Here, we report a patient diagnosed with these anomalies based on a bubble study and confirmed with magnetic resonance imaging.
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