Right superior vena cava draining into the left atrium in a patient with sinus venosus defect

Meletios Kanakis1, Thomas Martens2, Cleo Laskari3

  • 1Department of Pediatric and Congenital Heart Surgery, Onassis Cardiac Surgery Center, Athens, Greece.

Insights

A rare congenital heart anomaly, right superior vena cava draining into the left atrium, was observed in a 9-year-old. This case highlights variations in systemic venous return and associated defects.

Area of Science:

  • Cardiology
  • Congenital Heart Disease
  • Anatomy

Background:

  • Congenital anomalies of systemic venous return are uncommon.
  • The right superior vena cava (RSVC) typically drains into the right atrium.

Observation:

  • A 9-year-old patient presented with an extremely rare anomaly: RSVC draining into the left atrium.
  • This was associated with a sinus venosus defect and bilateral superior vena cava.

Findings:

  • The patient was asymptomatic, indicating that such anomalies can be clinically silent.
  • Detailed imaging confirmed the anomalous venous connection and associated atrial septal defect.

Implications:

  • This case expands the understanding of systemic venous return variations.
  • Highlights the importance of thorough cardiac evaluation in diagnosing rare congenital heart defects.

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