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Persistent Left and Absent Right Superior Vena Cava: Combined Functional and Anatomic Assessment with Transthoracic Echocardiography and Computed Tomography
Author(s) -
Naoum Christopher,
Khoury Vincent,
Ridley Lloyd,
Maze Seymour
Publication year - 2014
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/echo.12654
Subject(s) - medicine , coronary sinus , superior vena cava , computed tomography , persistent left superior vena cava , radiology , venous return curve , multidetector computed tomography , cardiology , hemodynamics
Mini‐Abstract We present the case of a 42‐year‐old man with incidentally noted dilatation of the coronary sinus who underwent bilateral upper limb agitated saline injection to confirm a diagnosis of persistent left and absent right superior vena cava. The case highlights the ability of selective bilateral upper limb agitated saline injection during transthoracic echocardiography to conclusively characterize venous return patterns. Anatomical confirmation of the diagnosis was subsequently made by thoracic computed tomography.