Levoatriocardinal Vein and Mimics: Spectrum of Imaging Findings

This article focuses on the embryology, hemodynamics, and CT and MRI features of levoatriocardinal vein. Levoatriocardinal vein, a form of pulmonary systemic connection, is most commonly seen in left heart obstructive lesions, providing an alternative egress for pulmonary venous blood.

Levoatriocardinal vein can be differentiated from other more common anomalies, such as anomalous pulmonary venous return, persistent left superior vena cava, and dilated left superior intercostal vein, by its distinctive imaging features.