Related Experiment Video
Updated: Dec 11, 2025

Three-Dimensional Echocardiographic Method for the Visualization and Assessment of Specific Parameters of the Pulmonary Veins
Published on: October 28, 2020
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.
Abstract:
Right superior vena cava draining into the left atrium is an extremely rare anomaly of systemic venous return. It can be isolated or it can be associated with other congenital heart defects, thus clinical presentation may vary. A case of a 9-year-old asymptomatic patient with sinus venous defect and bilateral superior vena cava with the right-sided draining into the left atrium is described.
Related Concept Videos
Overview of Systemic Veins
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...
Coronary Circulation
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...
Veins of Thorax
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...
Overview of Systemic Arteries
Systemic circulation is the part of the cardiovascular system that carries oxygenated blood away from the heart to the body's tissues and returns deoxygenated blood back to the...
Veins of the Abdomen and Pelvis
The inferior vena cava is fed by numerous smaller veins. The lumbar veins, for instance, drain the posterior abdominal wall, emptying both directly into the inferior vena cava and into the...
Veins of Head and Neck
On the other hand, the vertebral veins, unlike their arterial counterparts, are not primarily responsible for brain drainage. Instead, they drain the cervical vertebrae, spinal cord, and some small...

