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Case Report: Retroaortic Innominate Vein With Supracardiac Total Anomalous Pulmonary Venous Connection

A retroaortic innominate vein (RAIV) is a rare anomaly that passes posterior to the ascending aorta to join the superior vena cava and is associated with congenital heart disease (CHD). The RAIV and normal left innominate vein (LIV) rarely duplicate. The etiology of the RAIV and its relationship wit...

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Autores principales: Ifuku, Toshinobu, Kuraoka, Ayako, Ohhira, Tomoko, Sagawa, Koichi, Nakano, Toshihide, Kado, Hideaki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8602870/
https://www.ncbi.nlm.nih.gov/pubmed/34805039
http://dx.doi.org/10.3389/fped.2021.734567
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author Ifuku, Toshinobu
Kuraoka, Ayako
Ohhira, Tomoko
Sagawa, Koichi
Nakano, Toshihide
Kado, Hideaki
author_facet Ifuku, Toshinobu
Kuraoka, Ayako
Ohhira, Tomoko
Sagawa, Koichi
Nakano, Toshihide
Kado, Hideaki
author_sort Ifuku, Toshinobu
collection PubMed
description A retroaortic innominate vein (RAIV) is a rare anomaly that passes posterior to the ascending aorta to join the superior vena cava and is associated with congenital heart disease (CHD). The RAIV and normal left innominate vein (LIV) rarely duplicate. The etiology of the RAIV and its relationship with CHD remains unknown. We report a case involving a 1-month-old baby girl with RAIV and supracardiac total anomalous pulmonary venous connection (TAPVC). Transthoracic echocardiogram demonstrated a pulmonary venous confluence (CPV) posterior to the left atrium, an abnormal vertical vein (VV) that originated from the CPV, and a normally positioned LIV. Three-dimensional cardiac computed tomography revealed the VV and RAIV to which it merged. This is the first reported case of a combination of RAIV and isolated TAPVC. We speculate that the VV is connected to the CPV during fetal life, thus leaving the RAIV behind. The RAIV may be detected in various forms with the development of new diagnostic imaging methods. Although a RAIV itself does not require treatment, establishing a correct diagnosis before invasive tests and procedures are performed can help prevent unexpected complications.
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spelling pubmed-86028702021-11-20 Case Report: Retroaortic Innominate Vein With Supracardiac Total Anomalous Pulmonary Venous Connection Ifuku, Toshinobu Kuraoka, Ayako Ohhira, Tomoko Sagawa, Koichi Nakano, Toshihide Kado, Hideaki Front Pediatr Pediatrics A retroaortic innominate vein (RAIV) is a rare anomaly that passes posterior to the ascending aorta to join the superior vena cava and is associated with congenital heart disease (CHD). The RAIV and normal left innominate vein (LIV) rarely duplicate. The etiology of the RAIV and its relationship with CHD remains unknown. We report a case involving a 1-month-old baby girl with RAIV and supracardiac total anomalous pulmonary venous connection (TAPVC). Transthoracic echocardiogram demonstrated a pulmonary venous confluence (CPV) posterior to the left atrium, an abnormal vertical vein (VV) that originated from the CPV, and a normally positioned LIV. Three-dimensional cardiac computed tomography revealed the VV and RAIV to which it merged. This is the first reported case of a combination of RAIV and isolated TAPVC. We speculate that the VV is connected to the CPV during fetal life, thus leaving the RAIV behind. The RAIV may be detected in various forms with the development of new diagnostic imaging methods. Although a RAIV itself does not require treatment, establishing a correct diagnosis before invasive tests and procedures are performed can help prevent unexpected complications. Frontiers Media S.A. 2021-11-05 /pmc/articles/PMC8602870/ /pubmed/34805039 http://dx.doi.org/10.3389/fped.2021.734567 Text en Copyright © 2021 Ifuku, Kuraoka, Ohhira, Sagawa, Nakano and Kado. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Pediatrics
Ifuku, Toshinobu
Kuraoka, Ayako
Ohhira, Tomoko
Sagawa, Koichi
Nakano, Toshihide
Kado, Hideaki
Case Report: Retroaortic Innominate Vein With Supracardiac Total Anomalous Pulmonary Venous Connection
title Case Report: Retroaortic Innominate Vein With Supracardiac Total Anomalous Pulmonary Venous Connection
title_full Case Report: Retroaortic Innominate Vein With Supracardiac Total Anomalous Pulmonary Venous Connection
title_fullStr Case Report: Retroaortic Innominate Vein With Supracardiac Total Anomalous Pulmonary Venous Connection
title_full_unstemmed Case Report: Retroaortic Innominate Vein With Supracardiac Total Anomalous Pulmonary Venous Connection
title_short Case Report: Retroaortic Innominate Vein With Supracardiac Total Anomalous Pulmonary Venous Connection
title_sort case report: retroaortic innominate vein with supracardiac total anomalous pulmonary venous connection
topic Pediatrics
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8602870/
https://www.ncbi.nlm.nih.gov/pubmed/34805039
http://dx.doi.org/10.3389/fped.2021.734567
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