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A Case of an Anomalous Superior Vena Cava with Anomalous Pulmonary Veins—When Two Wrongs Do not Make a Right
Author(s) -
Hong Susie N.,
Nayar Ambika,
Srichai Monvadi B.,
Morgan Jeffrey A.,
Meyer David,
Katz Edward
Publication year - 2011
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/j.1540-8175.2010.01255.x
Subject(s) - shunting , medicine , right atrium , superior vena cava , right heart , right to left shunt , left atrium , cardiology , shunt (medical) , patent foramen ovale , migraine , atrial fibrillation
Intravenous agitated saline injection is useful in identifying right‐to‐left shunting at the atrial or intrapulmonary level. Anomalous systemic venous drainage to the left atrium is a rare but easily correctable cause of right‐to‐left shunting which, if left undiagnosed, may have serious consequences, including meningitis and pyogenic brain abscesses. This case illustrates an unusual cause of right‐to‐left shunting and the utility of venous microbubble injection in its diagnosis. (Echocardiography 2011;28:E39‐E41)