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Persistent Left Superior Vena Cava in Heart Transplantation.
Michelle Burmistrova1, Victory Bassey Effiom2, Ahmet Kilic3
1Albany Medical College, Albany, New York, USA.
JACC. Case Reports
|August 8, 2025
Summary
Persistent left superior vena cava (PLSVC) is a common thoracic venous anomaly. This study details a surgical technique for PLSVC anastomosis and management, reporting midterm patency data.
Area of Science:
- Cardiovascular Surgery
- Thoracic Surgery
- Vascular Anomalies
Background:
- Persistent left superior vena cava (PLSVC) is the most frequent thoracic venous abnormality encountered in cardiac surgery.
- Existing literature primarily focuses on surgical reimplantation techniques for PLSVC during heart transplantation, with limited data on midterm patency.
Observation:
- This study presents a specific surgical technique for PLSVC anastomosis.
- It also outlines the postoperative management strategy, including direct oral anticoagulation therapy.
Findings:
- Midterm patency data for the described PLSVC anastomosis technique is provided.
- Intraprocedural details and postoperative outcomes are documented.
Implications:
- The findings offer valuable insights into the surgical management and midterm outcomes of PLSVC.
- This contributes to improved understanding and treatment strategies for patients with this venous anomaly undergoing cardiac surgery.
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