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A Rare Association of Sinus Venosus-Type Atrial Septal Defect and Persistent Left Superior Vena Cava Detected by Transthoracic Echocardiography and Cardiac Magnetic Resonance Imaging
Patient: Male, 60 Final Diagnosis: Persistent left superior vena cava Symptoms: — Medication: — Clinical Procedure: Transthoracic echocardiogram and cardiac magnetic resonance imaging Specialty: Cardiology OBJECTIVE: Congenital defects/diseases BACKGROUND: Association of persistent left superior ven...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
International Scientific Literature, Inc.
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4536868/ https://www.ncbi.nlm.nih.gov/pubmed/26262994 http://dx.doi.org/10.12659/AJCR.894394 |
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author | Mousa, Tarek M. Akinseye, Oluwaseun A. Kerwin, Todd C. Akinboboye, Olakunle O. |
author_facet | Mousa, Tarek M. Akinseye, Oluwaseun A. Kerwin, Todd C. Akinboboye, Olakunle O. |
author_sort | Mousa, Tarek M. |
collection | PubMed |
description | Patient: Male, 60 Final Diagnosis: Persistent left superior vena cava Symptoms: — Medication: — Clinical Procedure: Transthoracic echocardiogram and cardiac magnetic resonance imaging Specialty: Cardiology OBJECTIVE: Congenital defects/diseases BACKGROUND: Association of persistent left superior vena cava (PLSVC) and sinus venosus-type atrial septal defect (SVASD) is rare. We describe a patient with dilated coronary sinus (CS) found to have PLSVC and SVASD. CASE REPORT: The patient is a 60-year-old man with history of stroke who underwent a transthoracic echocardiogram (TTE) for evaluation of shortness of breath. TTE demonstrated a markedly dilated CS. Agitated saline was injected into the left antecubital vein to further assess CS. The parasternal long axis view demonstrated immediate filling of the CS and confirmed the presence of a PLSVC. Apical 4-chamber view with injection of agitated saline into the right antecubital vein demonstrated immediate contrast opacification of both atria, consistent with a right to left cardiac shunt. Cardiac magnetic resonance (CMR) was performed, which confirmed the TTE findings of PLSVC and defined the cardiac shunt as SVASD. CONCLUSIONS: PLSVC should be suspected in a patient with an abnormally dilated CS. In this case we identified a rare association of PLSVC with a SVASD. TTE with agitated saline contrast injection and CMR are useful diagnostic tools for PLSVC and associated cardiac congenital anomalies, respectively. |
format | Online Article Text |
id | pubmed-4536868 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | International Scientific Literature, Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-45368682015-08-20 A Rare Association of Sinus Venosus-Type Atrial Septal Defect and Persistent Left Superior Vena Cava Detected by Transthoracic Echocardiography and Cardiac Magnetic Resonance Imaging Mousa, Tarek M. Akinseye, Oluwaseun A. Kerwin, Todd C. Akinboboye, Olakunle O. Am J Case Rep Articles Patient: Male, 60 Final Diagnosis: Persistent left superior vena cava Symptoms: — Medication: — Clinical Procedure: Transthoracic echocardiogram and cardiac magnetic resonance imaging Specialty: Cardiology OBJECTIVE: Congenital defects/diseases BACKGROUND: Association of persistent left superior vena cava (PLSVC) and sinus venosus-type atrial septal defect (SVASD) is rare. We describe a patient with dilated coronary sinus (CS) found to have PLSVC and SVASD. CASE REPORT: The patient is a 60-year-old man with history of stroke who underwent a transthoracic echocardiogram (TTE) for evaluation of shortness of breath. TTE demonstrated a markedly dilated CS. Agitated saline was injected into the left antecubital vein to further assess CS. The parasternal long axis view demonstrated immediate filling of the CS and confirmed the presence of a PLSVC. Apical 4-chamber view with injection of agitated saline into the right antecubital vein demonstrated immediate contrast opacification of both atria, consistent with a right to left cardiac shunt. Cardiac magnetic resonance (CMR) was performed, which confirmed the TTE findings of PLSVC and defined the cardiac shunt as SVASD. CONCLUSIONS: PLSVC should be suspected in a patient with an abnormally dilated CS. In this case we identified a rare association of PLSVC with a SVASD. TTE with agitated saline contrast injection and CMR are useful diagnostic tools for PLSVC and associated cardiac congenital anomalies, respectively. International Scientific Literature, Inc. 2015-08-11 /pmc/articles/PMC4536868/ /pubmed/26262994 http://dx.doi.org/10.12659/AJCR.894394 Text en © Am J Case Rep, 2015 This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License |
spellingShingle | Articles Mousa, Tarek M. Akinseye, Oluwaseun A. Kerwin, Todd C. Akinboboye, Olakunle O. A Rare Association of Sinus Venosus-Type Atrial Septal Defect and Persistent Left Superior Vena Cava Detected by Transthoracic Echocardiography and Cardiac Magnetic Resonance Imaging |
title | A Rare Association of Sinus Venosus-Type Atrial Septal Defect and Persistent Left Superior Vena Cava Detected by Transthoracic Echocardiography and Cardiac Magnetic Resonance Imaging |
title_full | A Rare Association of Sinus Venosus-Type Atrial Septal Defect and Persistent Left Superior Vena Cava Detected by Transthoracic Echocardiography and Cardiac Magnetic Resonance Imaging |
title_fullStr | A Rare Association of Sinus Venosus-Type Atrial Septal Defect and Persistent Left Superior Vena Cava Detected by Transthoracic Echocardiography and Cardiac Magnetic Resonance Imaging |
title_full_unstemmed | A Rare Association of Sinus Venosus-Type Atrial Septal Defect and Persistent Left Superior Vena Cava Detected by Transthoracic Echocardiography and Cardiac Magnetic Resonance Imaging |
title_short | A Rare Association of Sinus Venosus-Type Atrial Septal Defect and Persistent Left Superior Vena Cava Detected by Transthoracic Echocardiography and Cardiac Magnetic Resonance Imaging |
title_sort | rare association of sinus venosus-type atrial septal defect and persistent left superior vena cava detected by transthoracic echocardiography and cardiac magnetic resonance imaging |
topic | Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4536868/ https://www.ncbi.nlm.nih.gov/pubmed/26262994 http://dx.doi.org/10.12659/AJCR.894394 |
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