Journal Article

Persistent Left Superior Vena Cava and Inferior Vena Cava Dual Drainage to Coronary Sinus: A Case Report

Pitt, Susannah, Chen, Jennifer, White, Ammie M., Lizano Santamaria, Ramiro W.

2023

Overview

Dilation of the coronary sinus is often a result of excessive volume overload from congenital anomalies of systemic venous return to the heart. These abnormalities are often discovered incidentally later in life when a patient requires cardiac imaging, cardiac catheterization, or thoracic surgery. The most common abnormality is a persistent left superior vena cava. Inferior vena cava malformation is less common, yet several different anomalies can arise. The presence of persistent left superior vena cava or inferior vena cava anomalies requires further evaluation to rule out congenital heart disease in infants. Knowledge of technically challenging systemic venous anatomy is beneficial prior to procedures necessitating central venous access such as a central line, cardiac catheterization, and intracardiac device implantation. We present an unusual case of persistent LSVC and IVC both draining directly into a severely dilated coronary sinus that was diagnosed by fetal echocardiogram and later confirmed postnatally by transthoracic echocardiogram and computed tomography angiography. To our knowledge this is the second reported case of IVC drainage into the CS and the first case that reports this as a prenatal diagnosis.

• Publisher: Springer US,Springer,Springer Nature B.V
• Subject: Cardiac arrhythmia / Cardiac catheterization / Cardiac patients / Cardiac Surgery / Cardiology / Case Report / Case reports / Congenital heart disease / Coronary Sinus - diagnostic imaging / Coronary vessels / Diseases / Drainage / Heart / Heart Defects, Congenital - diagnostic imaging / Heart Defects, Congenital - surgery / Heart diseases / Humans / Infant / Intubation / Medical imaging / Medicine / Medicine & Public Health / Patients / Pediatric cardiology / Persistent Left Superior Vena Cava / Postpartum period / Pregnant women / Pulmonary arteries / Standard scores / Thoracic surgery / Ultrasonic imaging / Vascular Malformations - diagnostic imaging / Vascular Malformations - surgery / Vascular Surgery / Veins & arteries / Vena Cava, Inferior - abnormalities / Vena Cava, Inferior - diagnostic imaging / Vena Cava, Superior - abnormalities / Vena Cava, Superior - diagnostic imaging