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Giant coronary sinus and a review of the literature

Zekeriya Kucukdurmaz1, Yusuf Sezen2, Zekeriya Kaya3

  • 1Department of Cardiology, Sanliurfa Educational and Research Hospital, Sanliurfa, Turkey. trimesgites@hotmail.co.uk.

Journal of Echocardiography
|June 10, 2016
PubMed

Insights

A rare persistent left superior caval vein case presented with angina and dyspnea. Echocardiography revealed significant coronary sinus dilation and impaired heart function, highlighting a unique clinical presentation.

Area of Science:

  • Cardiology
  • Congenital Heart Defects

Background:

  • Persistent left superior caval vein (PLSVC) is a rare congenital anomaly.
  • It often remains asymptomatic, but can be associated with cardiac complications.

Purpose of the Study:

  • To report a rare case of PLSVC presenting with cardiac symptoms.
  • To highlight the diagnostic findings in a patient with PLSVC and a significantly dilated coronary sinus.

Main Methods:

  • Case report presentation.
  • Clinical assessment including echocardiography.

Main Results:

  • The patient presented with angina pectoris and exertional dyspnea.
  • Echocardiography demonstrated wall motion abnormalities, an ejection fraction of 40%, and a markedly enlarged coronary sinus.
  • The findings were attributed to the presence of PLSVC.

Conclusions:

  • PLSVC can present with significant cardiac symptoms such as angina.
  • A very large coronary sinus in the context of PLSVC is a rare finding.
  • Echocardiography is crucial for diagnosing this anomaly and its associated cardiac manifestations.

Keywords:
CavalIschemiaLeftPersistentSuperiorVein

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