CHSJ

Curr Health Sci J, vol. 43, no. 2, 2017

Cardiac Arrhythmias in Patient with Isolated Persistent Left Superior Vena Cava

[Case Report]

OANA-MARIA CORICI(1), M. GASPAR(2), ANIKO MORNOS(3), MARIA IANCAU(4)


(1)Cardiac Surgery Department, Institute of Cardiovascular Diseases, Timisoara, Romania; University of Medicine and Pharmacy of Craiova, Romania,
(2)Cardiac Surgery Department, Institute of Cardiovascular Diseases, Timisoara, Romania,
(3)Cardiology Department, Institute of Cardiovascular Diseases, Timisoara, Romania,
(4)Department of Physiology, University of Medicine and Pharmacy of Craiova, Romania


Abstract:

We report here the case of a 47-year-old male presented with atypical chest pain, fatigue and arrhythmias that was found to have persistent left superior vena cava. The clinical exam was normal. Twelve leads ECG showed sinus rhythm of 70 beats/min, QRS axis of 90 degree and right bundle branch block. Transthoracic echocardiography revealed left ventricular hypertrophy, a large coronary sinus and mild pulmonary hypertension. Saline contrast echocardiography was performed and micro-bubbles were visible first into the coronary sinus and then passed through the right atrium. Multislice computed tomography confirmed the presence of persistent left superior vein cava and the site of drainage into the right atrium via a large coronary sinus. Right superior vein cava was absent. In this case report, we emphasize the importance of full assessment in patient with persistent left superior vena cava.


Keywords: persistent left superior vena cava, arrhythmias, embryology



Corresponding: Marian Gaspar, Cardiac Surgery Department, Institute of Cardiovascular Diseases, Timisoara, Romania. 13A, Gheorghe Adam St, Timisoara, Timis County; e-mail: mariangaspar24@yahoo.com


DOI 10.12865/CHSJ.43.02.10 - Download PDF
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