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Delayed presentation of partial anomalous systemic venous connection.
Bharath A Paraswanath1, Anand P Subramanian1, M K Usha1
1Department of Pediatric Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru, Karnataka, India.
Annals of Pediatric Cardiology
|May 9, 2022
Summary
A rare anomaly, the inferior vena cava (IVC) connected to the left atrium (LA), was found in an asymptomatic woman. Surgical correction was successful, resolving her symptoms.
Area of Science:
- Cardiology
- Congenital Heart Disease
- Vascular Anomalies
Background:
- Systemic venous anomalies are exceptionally rare congenital conditions.
- Diagnosis often occurs incidentally or due to related complications.
Observation:
- An asymptomatic 29-year-old woman presented with unexplained systemic desaturation during the peripartum period.
- Initial suspicion was for cyanotic heart disease.
Findings:
- Diagnostic imaging, including transesophageal echocardiogram with contrast, computed tomography, and angiography, confirmed a hemianomalous connection of the inferior vena cava (IVC) to the left atrium (LA).
- This rare anomaly represents a significant deviation from normal systemic venous return.
Implications:
- This case highlights the importance of considering rare venous anomalies in the differential diagnosis of unexplained desaturation.
- Successful surgical correction of IVC to LA anomalous connection can lead to favorable outcomes.
- Further research into the long-term implications and management strategies for such rare anomalies is warranted.
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