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Eur J Cardiothorac Surg 2008;33:119-120. doi:10.1016/j.ejcts.2007.09.031
Copyright © 2008, European Association for Cardio-thoracic Surgery. Published by Elsevier. All rights reserved.
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Case reports

Magnetic resonance imaging findings of persistent primitive hepatic venous plexus with complex congenital cardiac disease

Montserrat Bret-Zuritaa, Inmaculada Pinillaa,*, Emilio Cuesta-Lópeza, Margarita Burguerosb

a Department of Radiology, University Hospital La Paz, Madrid, Spain
b Department of Cardiology, University Hospital La Paz, Madrid, Spain

Received 19 July 2007; received in revised form 7 September 2007; accepted 27 September 2007.

* Corresponding author. Address: Department of Radiology, Hospital Universitario La Paz, Paseo Castellana 261, Madrid 28046, Spain. Tel.: +34 917277283; fax: +34 917277027. (Email: i.pinilla{at}telefonica.net).

Persistence of the primitive hepatic venous plexus (PPHVP) is an uncommon anomaly that can present associated with complex congenital heart disease and inferior vena cava (IVC) development anomalies and complicate endovascular and surgical procedures. We report a case of PPHVP in a patient with complex congenital heart disease with unexplained persistent arterial desaturation after Kawashima operation and describe magnetic resonance angiography (Angio-MRI) findings leading to the diagnosis. We recommend that IVC-Angio-MRI be performed in preoperative evaluation of patients with complex congenital heart disease and left isomerism when redirection of systemic venous blood to the pulmonary arterial circulation is considered.

Key Words: Systemic venous anomalies • Congenital heart disease • Hepatic venous plexus • Azygos continuation • Magnetic resonance imaging






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Copyright © 2008 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.