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Isolated drainage of right superior vena cava into left atrium: A rare etiology of childhood central cyanosis.

Shaimaa RakhaMohamed-Magdy AbuelkheirMohamed-Adel F Elgamal
Published in: Echocardiography (Mount Kisco, N.Y.) (2017)
Isolated right superior vena cava drainage into the left atrium (RSVC-LA) is an extremely rare anomaly in the absence of other cardiac or extracardiac abnormalities. The clinical and echocardiographic diagnosis is considered challenging. We report a female infant with cyanosis on crying who was diagnosed as isolated RSVC-LA using conventional and contrast echocardiography, but further confirmation was possible via multidetector CT. The surgical correction was performed with smooth postoperative recovery. In conclusion, isolated RSVC-LA must be in the differential diagnosis of cyanosis in the absence of intracardiac anomalies. Surgical correction is necessary management to guard against brain abscesses or paradoxical embolization.
Keyphrases
  • vena cava
  • inferior vena cava
  • computed tomography
  • left ventricular
  • patients undergoing
  • ultrasound guided
  • heart failure
  • magnetic resonance imaging
  • pulmonary artery
  • mitral valve
  • coronary artery
  • atrial fibrillation