1
|
Karavassilis ME, Haji-Coll M, Keenan NG. Multiple thromboembolic events associated with bilateral superior vena cava and anomalous drainage into the left atrium. BMJ Case Rep 2021; 14:14/2/e237401. [PMID: 33526519 PMCID: PMC7852915 DOI: 10.1136/bcr-2020-237401] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023] Open
Abstract
A 49-year-old female patient presented with acute-on-chronic chest pain. She was diagnosed with multiple systemic thromboemboli, including myocardial infarctions, bilateral chronic pulmonary emboli, ischaemic stroke, deep venous thrombosis and superficial thrombophlebitis. She had a background of sickle cell trait. Cardiac magnetic resonance showed bilateral superior vena cava (SVC). The right-sided SVC (RSVC) was joined by the right upper pulmonary vein and drained anomalously into the left atrium. This caused a small volume right to left shunt. The persistent left SVC drained into the right atrium (RA) via a dilated coronary sinus. The overall clinical impression was recurrent paradoxical emboli due to anomalous venous anatomy with a thrombophilia secondary to sickle cell trait. In the normal embryo, the right common cardinal vein develops to become the RSVC, which drains into the RA by term.
Collapse
Affiliation(s)
| | - Michael Haji-Coll
- Stroke Medicine, West Hertfordshire Hospitals NHS Trust, Watford, Hertfordshire, UK
| | - Niall G Keenan
- Cardiology, West Hertfordshire Hospitals NHS Trust, Watford, UK
| |
Collapse
|
3
|
Tanaka N, Jujo T, Sugiura T, Matsuura K, Kobayashi T, Naito A, Shimazu K, Kasai H, Suda R, Nishimura R, Ikari J, Sakao S, Tanabe N, Matsumiya G, Tatsumi K. Partial anomalous pulmonary venous return with dual drainage to the superior vena cava and left atrium with pulmonary hypertension. Respir Med Case Rep 2018; 25:112-115. [PMID: 30109193 PMCID: PMC6088432 DOI: 10.1016/j.rmcr.2018.08.003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2018] [Accepted: 08/05/2018] [Indexed: 10/29/2022] Open
Abstract
Partial anomalous pulmonary venous return (PAPVR) is a rare congenital cardiovascular anomaly. A 68-year-old woman was referred to our hospital for detailed examination for pulmonary hypertension (PH). She had been diagnosed as having pulmonary artery dilation and suspected to have PH during a health check seven years prior. A contrast computed tomography showed that the right upper pulmonary vein (RUPV) returned to the superior vena cava (SVC) with a preserved normal connection to the left atrium (LA). Surgical repair was performed. We reported an extremely rare case of isolated PAPVR with PH showing dual drainage into the SVC and LA.
Collapse
Affiliation(s)
- Nozomi Tanaka
- Department of Respirology (B2), Graduate School of Medicine, Chiba University, Japan
| | - Takayuki Jujo
- Department of Respirology (B2), Graduate School of Medicine, Chiba University, Japan.,Department of Advanced Medicine in Pulmonary Hypertension, Graduate School of Medicine, Chiba University, Japan
| | - Toshihiko Sugiura
- Department of Respirology (B2), Graduate School of Medicine, Chiba University, Japan
| | - Kaoru Matsuura
- Department of Cardiovascular Surgery, Graduate School of Medicine, Chiba University, Japan
| | - Takayuki Kobayashi
- Department of Respirology (B2), Graduate School of Medicine, Chiba University, Japan
| | - Akira Naito
- Department of Respirology (B2), Graduate School of Medicine, Chiba University, Japan.,Department of Advancing Research on Treatment Strategies for Respiratory Disease, Graduate School of Medicine, Chiba University, Japan
| | - Kengo Shimazu
- Department of Respirology (B2), Graduate School of Medicine, Chiba University, Japan
| | - Hajime Kasai
- Department of Respirology (B2), Graduate School of Medicine, Chiba University, Japan
| | - Rika Suda
- Department of Respirology (B2), Graduate School of Medicine, Chiba University, Japan
| | - Rintaro Nishimura
- Department of Respirology (B2), Graduate School of Medicine, Chiba University, Japan
| | - Jun Ikari
- Department of Respirology (B2), Graduate School of Medicine, Chiba University, Japan
| | - Seiichiro Sakao
- Department of Respirology (B2), Graduate School of Medicine, Chiba University, Japan
| | - Nobuhiro Tanabe
- Department of Respirology (B2), Graduate School of Medicine, Chiba University, Japan.,Department of Advanced Medicine in Pulmonary Hypertension, Graduate School of Medicine, Chiba University, Japan
| | - Goro Matsumiya
- Department of Cardiovascular Surgery, Graduate School of Medicine, Chiba University, Japan
| | - Koichiro Tatsumi
- Department of Respirology (B2), Graduate School of Medicine, Chiba University, Japan
| |
Collapse
|