Persistent left superior vena cava draining into the left atrium: an elderly man with hypoxia, cyanosis, and paradoxical shunting post-myocardial infarction | Zendy

Vincent Chow | Zendy; Joseph Trieu | Zendy; John Yiannikas | Zendy

Open Access

Persistent left superior vena cava draining into the left atrium: an elderly man with hypoxia, cyanosis, and paradoxical shunting post-myocardial infarction

Author(s) -

Vincent Chow,

Joseph Trieu,

John Yiannikas

Publication year - 2012

Publication title -

european heart journal

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 4.336

H-Index - 293

eISSN - 1522-9645

pISSN - 0195-668X

DOI - 10.1093/eurheartj/ehs048

Subject(s) - medicine , cardiology , persistent left superior vena cava , shunting , embolus , right to left shunt , myocardial infarction , superior vena cava , left coronary artery , pulmonary artery , left atrium , cardiac catheterization , coronary sinus , atrial fibrillation , patent foramen ovale , migraine

A 76-year-old man presented with acute breathlessness, cyanosis (oxygen saturation 75%), and biventricular failure. Left and right heart catheterization confirmed an occluded right coronary artery and raised right atrial (RA) pressure (17 mmHg). To exclude pulmonary embolus, computed tomography pulmonary angiogram (CTPA) with contrast injected into the left arm revealed persistent left superior vena cava (LSVC) draining not as expected into the RA via …

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