Successful catheter-based occlusion of persistent left-sided superior vena cava draining into the left atrium | Zendy

Sherif Moustafa | Zendy; David J. Patton | Zendy; Naeem Merchant | Zendy; Dylan Taylor | Zendy; Nanette Alvarez | Zendy

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Successful catheter-based occlusion of persistent left-sided superior vena cava draining into the left atrium

Author(s) -

Sherif Moustafa,

David J. Patton,

Naeem Merchant,

Dylan Taylor,

Nanette Alvarez

Publication year - 2011

Publication title -

european heart journal - cardiovascular imaging

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 2.576

H-Index - 92

eISSN - 2047-2412

pISSN - 2047-2404

DOI - 10.1093/ejechocard/jer225

Subject(s) - medicine , supine position , shunt (medical) , left atrium , cardiology , persistent left superior vena cava , occlusion , catheter , right to left shunt , surgery , coronary sinus , atrial fibrillation , patent foramen ovale , migraine

A 46-year-old woman presented with progressive fatigue. Her past history was remarkable for partial atrio-ventricular septal defect repair at the age of 9 years. Physical examination was notable for obesity, positional desaturation (PaO2 = 92% standing vs. 88% supine) and Grade 2/6 apical pansystolic murmur. Transthoracic echocardiography showed an intact atrial septum and mild mitral regurgitation. Saline contrast injection from the left arm showed prompt filling of both atria with bubbles consistent with a significant extracardiac right-to-left shunt and suggesting communication at the caval level (see …

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