CASE REPORT
Year : 2020  |  Volume : 14  |  Issue : 2  |  Page : 217-220

Persistent left superior vena cava in patient with right atrial myxoma undergoing open heart surgery. A case report and review of literature


1 Department of Cardiac Anesthesia, King Fahd Cardiac Center, College of Medicine, King Saud University Medical City, Riyadh, Kingdom of Saudi Arabia
2 Department of Cardiac Surgery, King Fahd Cardiac Center, College of Medicine, King Saud University Medical City, Riyadh, Kingdom of Saudi Arabia
3 Department of Interventional Cardiology, King Fahd Cardiac Center, College of Medicine, King Saud University Medical City, Riyadh, Kingdom of Saudi Arabia

Correspondence Address:
Dr. Mostafa Elhamamsy
Department of Cardiac Anesthesia, King Fahd Cardiac Center, College of Medicine, King Saud University Medical City, Riyadh 11461, P.O. Box 2925, Riyadh
Kingdom of Saudi Arabia
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/sja.SJA_511_19

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Persistent left superior vena cava (PLSVC) is a rare and asymptomatic congenital cardiovascular anomaly. Being asymptomatic, PLSVC was usually discovered while performing interventions (such as insertion of central lines, Swan-Ganz catheters, or placing pacemakers) through the left internal jugular vein or left subclavian veins. Commonly, PLSVC is detected not only as an isolated congenital anomaly, but also it can be associated with many other cardiac anomalies. Also, presence of a dilated coronary sinus on echocardiography should raise the suspicion of PLSVC. The diagnosis should be confirmed by contrast venography or computed tomography angiography. The present case is a female patient, 29 year old, who was undergoing elective excision of a right atrial mass, with closure of patent foramen ovale, and she had end-stage renal failure on regular hemodialysis three times weekly through a permicath inserted in the right subclavian vein.


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