Levoatriocardinal vein and partial anomalous pulmonary vein drainage in left-sided obstructive CHDs: diagnostic and

Davide Marini1, Gabriella Agnoletti1, Carlo Pace Napoleone2

  • 11Department of Cardiology,Città della Salute e della Scienza,Turin,Italy.

Cardiology in the Young
|October 29, 2015
PubMed

Insights

This study highlights a rare association of levoatriocardinal vein and partial anomalous pulmonary venous drainage with left-sided obstructive lesions. Advanced imaging like CT and MRI are vital for accurate diagnosis and treatment planning.

Area of Science:

  • Cardiology
  • Medical Imaging
  • Congenital Heart Disease

Background:

  • Congenital heart disease presents complex anatomical variations.
  • Levoatriocardinal vein (LACV) and partial anomalous pulmonary venous drainage (PAPVD) are rare cardiac anomalies.
  • Left-sided obstructive lesions can complicate diagnosis and management.

Observation:

  • Two cases presented with concurrent levoatriocardinal vein and partial anomalous pulmonary venous drainage.
  • These anomalies were associated with left-sided obstructive cardiac lesions.
  • Echocardiography posed challenges in recognizing this specific combination.

Findings:

  • Cardiac computed tomography (CT) and magnetic resonance imaging (MRI) proved essential for definitive diagnosis.
  • Detailed imaging delineated the complex venous anatomy and obstructive lesions.
  • Accurate diagnosis facilitated tailored therapeutic strategies.

Implications:

  • Recognizing this rare association is critical for appropriate patient care.
  • Advanced cardiac imaging modalities (CT/MRI) are indispensable for diagnosis.
  • Early and accurate diagnosis impacts the selection of optimal treatment for complex congenital heart disease.

Related Concept Videos

Overview of Systemic Veins01:11

Overview of Systemic Veins

Systemic veins are crucial blood vessels that return deoxygenated blood from various body tissues back to the heart. There are three systemic veins that return deoxygenated blood to the heart, they are as follows.
The coronary sinus, the heart's principal vein, resides in the coronary sulcus on the heart's posterior aspect. This broad venous channel receives nearly all venous blood from the myocardium, the heart muscle. It is fed by three primary veins: the great cardiac vein, the...
1.7K
Coronary Circulation01:21

Coronary Circulation

The heart, an organ critical to survival, gets nourishment not from the blood it pumps but from a separate circulation system known as coronary circulation. This is the shortest circulation in the body and is responsible for supplying the heart with the nutrients it needs to function effectively.
Coronary circulation begins at the base of the aorta, where two main arteries arise—the left and right coronary arteries. These arteries encircle the heart in the coronary sulcus and supply the...
8.9K
Mitral Stenosis I: Introduction01:22

Mitral Stenosis I: Introduction

Mitral Valve Stenosis (MVS) is a heart condition where the mitral valve narrows, impeding blood circulation from the left atrium to the left ventricle. The etiology and pathophysiology of this condition are multifaceted, leading to a cascade of cardiovascular complications.Causes of Mitral Valve StenosisRheumatic Heart Disease: It is the main cause of mitral valve stenosis, particularly in developing nations. This condition arises from rheumatic fever, an inflammatory illness resulting from...
1.3K
Imbalances in Cardiac Output01:26

Imbalances in Cardiac Output

The heart's primary function is to pump blood throughout the body, maintaining a balance between blood sent out (cardiac output) and blood returning (venous return). If this balance is disrupted, it can result in congestive heart failure (CHF), a severe condition where the heart becomes an inefficient pump, leading to inadequate blood circulation.
CHF can occur due to the failure of either side of the heart. Left-side failure leads to pulmonary congestion—the right side continues to send...
3.4K
Cardiac Catheterization II: Right Heart Catheterization01:21

Cardiac Catheterization II: Right Heart Catheterization

Right Heart Catheterization: An OverviewRight heart catheterization is an invasive diagnostic procedure that measures right-sided cardiac and pulmonary artery pressures, calculates cardiac output, and identifies intracardiac shunts. It provides detailed hemodynamic data essential for diagnosing and managing various cardiovascular conditions, such as pulmonary hypertension.Access SitesCommon access sites for right heart catheterization include the internal jugular vein in the neck region, the...
1.8K
Veins of Thorax01:19

Veins of Thorax

The azygos system is a crucial part of the body's circulatory system and drains most of the thorax. It comprises the azygos, hemiazygos, and accessory hemiazygos veins.
The azygos vein, positioned just right of the midline and anterior to the vertebral column, begins at the junction of the right ascending lumbar and subcostal veins, terminating in the superior vena cava. This vein drains blood from the right side of the thoracic wall, thoracic viscera, and posterior abdominal wall.
The...
2.6K