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Eur J Cardiothorac Surg 2003;23:1051
© 2003 Elsevier Science NL

Images in cardio-thoracic surgery

Anomalus drainage of the right superior vena cava to the left atrium

Khaled Samira*, Alain Fraissea, Jean-Michel Rauzierb, Beranrd Kreitmanna

a Department of Pediatric Cardiac Surgery, La Timone Children's Hospital, Marseille, France
b Department of Pediatric Cardiology, Arnaud de Villeneuve Hospital, Montpellier, France

Received 10 June 2002; received in revised form 26 December 2002; accepted 22 January 2003.

* Corresponding author. Tel.: +33-4-9138-6676; fax: +33-4-9147-8170
e-mail: ksam68{at}yahoo.com

Key Words: Congenital • Cyanosis • Anomalus SVC

A 3 month old infant was referred to our center, despite her cyanosis; echocardiography revealed no cardiac anomaly and the diagnosis was only possible after the inability to scan the lungs with isotopes injected in the upper limb and confirmed by catheterization (Fig. 1) . The right SVC was draining to the LA with a fibrous band connected to the RA (Fig. 2) . Surgical reimplantation of the SVC was performed and a small patch of pericardium was used to widen the anastomosis with a very successful outcome.



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  		Fig. 1. An angiogram showing the opacification of the left heart chamber after injection of the dye in an upper limb vein.

 


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  		Fig. 2. An intraoperative photo taken before repair; note the anterior position of the SVC that made the echocardiographic diagnosis very difficult.

 



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 Ann. Thorac. Surg.Home page
G. Oppido, C. P. Napoleone, S. Turci, A. Giardini, R. Formigari, E. Angeli, and G. Gargiulo
Right Superior Vena Cava Draining in the Left Atrium: Anatomical, Embryological, and Surgical Considerations
Ann. Thorac. Surg., June 1, 2006; 81(6): 2313 - 2315.
[Abstract] [Full Text] [PDF]

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