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Right superior caval vein draining into the left atrium—diagnosis by color flow mapping

Published online by Cambridge University Press:  19 August 2008

Luis E. Alday*
Affiliation:
From the Divisions of Cardiology and Cardiovascular Surgery and the Departments of Pediatrics, Catholic and National Universities of Cordoba, Hospital de Niños, Cordoba
Hector Maisuls
Affiliation:
From the Divisions of Cardiology and Cardiovascular Surgery and the Departments of Pediatrics, Catholic and National Universities of Cordoba, Hospital de Niños, Cordoba
Roberto De Rossi
Affiliation:
From the Divisions of Cardiology and Cardiovascular Surgery and the Departments of Pediatrics, Catholic and National Universities of Cordoba, Hospital de Niños, Cordoba
*
Dr. Luis E. Alday, Division of Cardiology, Hospital de Niños, Boulevard Chacabuco 1016, 5000 Cordoba, Argentina. Tel. (051) 60-6920; Fax. (54)51-68-8272.

Abstract

We report two female patients, one aged four years and the other a newborn, referred for evaluation of cyanosis with otherwise normal cardiovascular findings, who proved to have the right superior caval vein draining into the morphologically left atrium. In both patients, the diagnosis was made by color flow mapping. The older child underwent catheterization and subsequent successful surgical correction. A right superior caval vein draining into the left atrium, although very rare, should always be considered a diagnostic possibility in the presence of cyanosis and normal clinical findings. Color flow mapping is an excellent method with which to make the diagnosis.

Type
Original Manuscripts
Copyright
Copyright © Cambridge University Press 1995

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References

1. Wood, P.Diseases of the Heart and Circulation. Third edition. Eyre and Spothiswoode, London, 1968, pp 554555.Google Scholar
2. Tuchman, H, Brown, JF, Huston, JH, Weinstein, AB, Rowe, GG, Crumpton, C.Superior vena cava draining into left atrium. Another cause for left ventricular hypertrophy with cyanotic congenital heart disease. Am J Med 1956; 21:481484.Google Scholar
3. Kirsch, WM, Carlsson, E, Hartmann, AF Jr. A case of anomalous drainage of the superior vena cava into the left atrium. J Thorac Cardiovas Surg 1961; 41: 550556.CrossRefGoogle ScholarPubMed
4. Braudo, M, Beanlands, DS, Trusler, G.Anomalous drainage of the superior vena cava into the left atrium. Canad Med Assoc J 1968; 99: 715719.Google ScholarPubMed
5. Park, HM, Smith, AT, Silberstein, EB. Isolated superior vena cava draining into the left atrium diagnosed by radionucleide angiography. J Nucl Med 1973; 14: 240242.Google Scholar
6. Ezekowitz, MD, AJderson, PO, Bulkley, BH, Dwyer, PN, Watkins, L, Lappe, DL, Greene, HL, Becker, LC.Isolated drainage of the superior vena cava into the left atrium in a 52-year-old man. Circulation 1978; 58: 751756.Google Scholar
7. Vázquez-Pérez, J, Frontera-Izquierdo, P. Anomalous drainage of the right superior vena cava into the left atrium as an isolated anomaly. Rare case report. Am Heart J 1979; 97: 8991.Google Scholar
8. Truman, AT, Rao, PS, Kulangara, RJ. Use of contrast echocar-diography in diagnosis of anomalous connection of right superior vena cava to left atrium. Br Heart J 1980; 44: 718723.Google Scholar
9. Thivolle, P, Munsach, RC, Veillas, G, Dahoun, A, Berger, M. Cardiopulmonary studies show venous return from upper half of body passing directly to left atrium. J Nucl Med 1980; 21: 293294. [Letter]Google Scholar
10. Tomoe, A, Yoshida, Y, Ogata, H. Peripheral contrast echocar-diographic findings of anomalous drainage of the right superior vena cava into the left atrium. Tohoku J Exp Med 1980; 130: 353358.Google Scholar
11. Park, HM, Summerer, MH, Preuss, K, Armstrong, WF, Mahomed, Y, Hamilton, DJ. Anomalous drainage of the right superior vena cava into the left atrium. J Am Coll Cardiol 1983; 2: 358362.Google Scholar
12. King, RE, Plotnick, GD. Isolated right superior vena cava into the left atrium detected by contrast echocardiography. Am Heart J 1991; 122:583586.Google Scholar
13. Chin, AJ.Subcostal two-dimensional echocardiographic identification of right superior vena cava connecting to left atrium. Am Heart J 1994; 127: 939941.CrossRefGoogle ScholarPubMed
14. Nazem, A, Sell, JE. Closed technique for repair of right superior vena cava draining to left atrium. Ann Thorac Surg 1993; 55: 15681570.Google Scholar
15. Perloff, JK. The Clinical Recognition of Congenital Heart Disease, Third edition. WB Saunders, Philadelphia, 1987, pp 641652.Google Scholar
16. Gallaher, ME, Sperling, DR, Gwinn, JL, Meyer, BW, Fyler, DC. Functional drainage of the inferior vena cava into the left atrium—three cases. Am J Cardiol 1963; 12: 561566.CrossRefGoogle ScholarPubMed
17. Shapiro, EP, Al-Sadir, J, Campbell, NPS, Thilenius, OG, Anagnostopoulos, CE, Hays, P. Drainage of right superior vena cava into both atria. Circulation 1981; 63: 712717.Google Scholar
18. Viart, P, LeClerc, JL, Primo, G, Polis, O. Total anomalous systemic venous drainage. Am J Dis Child 1977; 131: 195198.Google ScholarPubMed
19. Keith, A. Human Embryology and Morphology. Williams and Wilkins, Baltimore, 1948, pp 445448.Google Scholar
20. Licata, RH. The human embryonic heart in the ninth week. Am J Anat 1954; 94: 73125.CrossRefGoogle ScholarPubMed
21. Shaner, RF. The high defect in the atrial septum. Canad Med Ass J 1958; 78: 688689.Google Scholar
22. Wilcox, BR, Anderson, RH. Surgical Anatomy of die Heart. Second edition. Gower Medical Publishing, London, 1992, pp 2.82.9.Google Scholar