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Persistent Left Superior Vena Cava

Vrinda Nair1, Kamran Yusuf1, Weiming Yu2,3

  • 11 Section of Neonatology, University of Calgary, Calgary, Canada.

Pediatric and Developmental Pathology : the Official Journal of the Society for Pediatric Pathology and the Paediatric Pathology Society
|March 23, 2017
PubMed

Insights

Persistent left superior vena cava (PLSVC), a common heart anomaly, can be linked to airway and GI issues. Detailed fetal scans are crucial for identifying these extra-cardiac anomalies alongside PLSVC diagnosis.

Area of Science:

  • Cardiology
  • Fetal Medicine
  • Pediatric Surgery

Background:

  • Persistent left superior vena cava (PLSVC) is a frequent congenital cardiac anomaly.
  • Diagnosis typically involves fetal echocardiography.
  • Associated extra-cardiac anomalies, particularly of the upper airway and gastrointestinal tract, are less commonly recognized.

Observation:

  • A preterm infant presented with a rare triad of congenital anomalies.
  • The infant exhibited PLSVC, laryngeal atresia, and esophageal atresia.

Findings:

  • This case underscores the importance of comprehensive fetal assessment beyond echocardiography.
  • Detailed evaluation for extra-cardiac anomalies is vital in fetuses diagnosed with PLSVC.

Implications:

  • Early identification of associated anomalies can guide timely intervention.
  • Highlights the need for integrated care in managing complex congenital conditions.
  • Emphasizes thorough prenatal screening for improved neonatal outcomes.

Keywords:
congenital heart diseasecongenital high airway obstruction syndromeesophageal atresialaryngeal atresiapersistent left superior vena cavatracheoesophageal fistula

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