Case Report
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Sol persistant vena kavaya bağlı geniş koroner sinus: Olgu sunumu

Year 2019, Volume: 3 Issue: 2, 194 - 196, 25.02.2019

Emrah Doğan Marwa Mouline Doğan Süha Gül Neşat Çullu

https://doi.org/10.28982/josam.470445

Abstract

Kalıcı sol superior vena kava (LPSVC) nadir ve önemli bir konjenital venöz anomalidir. Bu anomali, kardiyak gelişim sırasında sol anterior kardinal venin regresyonunda bir defektten kaynaklanır. LPSVC, % 90 oranında koroner sinüs (CS) yoluyla sağ atriyuma akar, % 10'unda sol atriyuma bağlanır. Kardiyak anomaliler mevcut olduğunda, LPSVC genellikle doğrudan sol atriyuma bağlanır. CS'ye drene olan LPSVC genellikle izole ve asemptomatiktir (4). Bizim olgumuzda, solunum testlerinin tümü normaldi ancak hasta herhangi bir tanı olmaksızın ağır bir solunum semptomatolojisi sundu. Bilgisayarlı tomografi (BT)’de LPSVC'nin, CS dilatasyonunu indülendiği saptanmıştır; CS literatürde belirtilen normal boyutun 3 kat üzerinde izlenmekteydi, herhangi bir konjenital anamali saptanmadı. LPSVC, farklı klinik ve anatomik şekillerle kompleks bir anatomik varyasyon gibi görünmektedir. CS dilatasyonu BT'de LPSVC ile ilişkili olarak bulunabilir. Sonuç olarak, konjenital kardiyovasküler varyasyonların optimal tanısını koymak ve girişimsel komplikasyonları önlemek için non-invaziv kardiyovasküler muayenelerin kullanılması önemlidir.

Keywords

Superior vena cava Sol persistan vena kava Toraks radyolojisi

References

  • 1. Altunkas A, Altunkas F. A very rare subgroup of persistent left superior vena cava in an adult: Isolated persistent left superior vena cava with absence of the congenital heart diseases. Acta Medica Anatolia. 2014;2(1):32-3.
  • 2. Chen SH, Cheng JL. Duplication of the superior vena cava in an elderly patient on hemodialysis. International Journal of Gerontology. 2017;11:267-9.
  • 3. Bolognesi M. Dilated coronary sinus due to persistent left superior vena cava in a healthy athlete: A case report with brief review. J Integr Cardiol. 2015;1(5):115-7.
  • 4. Albay S, Cankal F, Kocabıyık N, Yalcın B, Ozan H. Double superior vena cava. Morphologie. 2006;90:39-42.
  • 5. Gris P, Wilmet B, Benchillal A, Tack D, Wery D, De Jonghe M, et all. Persistent left superior vena cava: Apropos of 2 cases. Rev Pneumol Clin. 1995;51:33-5.
  • 6. Shah SS, Teague SD, Lu JC, Dorfman AL, Kazerooni AE, Agarwal PP. RadioGraphics. 2012;32:991-1008.
  • 7. Burney K, Young H, Barnard SA, Mc Coubrie P, Darby M. CT appearances of congenital and acquired abnormalities of the superior vena cava. Clinical Radiology. 2007;62:837-42.
  • 8. Nathani S, Parakh N, Chaturvedi V, Tyagi S. Giant coronary sinus. Tex Heart Inst J. 2011;38(3):310-1.

Left persistent superior vena cava with large coronary sinus: A case report

Year 2019, Volume: 3 Issue: 2, 194 - 196, 25.02.2019

Emrah Doğan Marwa Mouline Doğan Süha Gül Neşat Çullu

https://doi.org/10.28982/josam.470445

Abstract

Persistent left superior vena cava (LPSVC) is a rare and important congenital venous anomaly. It is caused by a defect in the closure of the left anterior cardinal vein during cardiac development. The LPSVC drains into the right atrium via the coronary sinus (CS) in 90% of cases, connects to the left atrium in 10 % of them. When cardiac anomalies are present, LPSVC is usually linked directly to left atrium. Thus, LPSVC which drains in the CS is generally isolated and asymptomatic. In our case, patient presented a heavy respiratory symptomatology without any diagnosis since all of the respiratory tests were normal. After realization of a computed tomography (CT), LPSVC had been discovered inducing a huge dilatation of CS, which its diameter was three times more than reported in literature and without any associated congenital heart disease. 

LPSVC seems to be a complex anatomic variation with different clinic and anatomic shapes. CS dilatation can be found in association with LPSVC in CT. As a result, it is important to use non-invasive cardiovascular examinations to make an optimal diagnosis of congenital cardiovascular variations and in order to avoid further interventional complications.

Keywords

Superior vena cava Left persistent vena cava Thorax radiology

References

  • 1. Altunkas A, Altunkas F. A very rare subgroup of persistent left superior vena cava in an adult: Isolated persistent left superior vena cava with absence of the congenital heart diseases. Acta Medica Anatolia. 2014;2(1):32-3.
  • 2. Chen SH, Cheng JL. Duplication of the superior vena cava in an elderly patient on hemodialysis. International Journal of Gerontology. 2017;11:267-9.
  • 3. Bolognesi M. Dilated coronary sinus due to persistent left superior vena cava in a healthy athlete: A case report with brief review. J Integr Cardiol. 2015;1(5):115-7.
  • 4. Albay S, Cankal F, Kocabıyık N, Yalcın B, Ozan H. Double superior vena cava. Morphologie. 2006;90:39-42.
  • 5. Gris P, Wilmet B, Benchillal A, Tack D, Wery D, De Jonghe M, et all. Persistent left superior vena cava: Apropos of 2 cases. Rev Pneumol Clin. 1995;51:33-5.
  • 6. Shah SS, Teague SD, Lu JC, Dorfman AL, Kazerooni AE, Agarwal PP. RadioGraphics. 2012;32:991-1008.
  • 7. Burney K, Young H, Barnard SA, Mc Coubrie P, Darby M. CT appearances of congenital and acquired abnormalities of the superior vena cava. Clinical Radiology. 2007;62:837-42.
  • 8. Nathani S, Parakh N, Chaturvedi V, Tyagi S. Giant coronary sinus. Tex Heart Inst J. 2011;38(3):310-1.
There are 8 citations in total.

Details

Primary Language English
Subjects ​Internal Diseases
Journal Section Case report
Authors

Emrah Doğan 0000-0002-9446-2294

Marwa Mouline Doğan 0000-0002-3401-895X

Süha Gül This is me 0000-0001-5625-5385

Neşat Çullu 0000-0002-5045-3919

Publication Date February 25, 2019
Published in Issue Year 2019 Volume: 3 Issue: 2

Cite

APA Doğan, E., Mouline Doğan, M., Gül, S., Çullu, N. (2019). Left persistent superior vena cava with large coronary sinus: A case report. Journal of Surgery and Medicine, 3(2), 194-196. https://doi.org/10.28982/josam.470445
AMA Doğan E, Mouline Doğan M, Gül S, Çullu N. Left persistent superior vena cava with large coronary sinus: A case report. J Surg Med. February 2019;3(2):194-196. doi:10.28982/josam.470445
Chicago Doğan, Emrah, Marwa Mouline Doğan, Süha Gül, and Neşat Çullu. “Left Persistent Superior Vena Cava With Large Coronary Sinus: A Case Report”. Journal of Surgery and Medicine 3, no. 2 (February 2019): 194-96. https://doi.org/10.28982/josam.470445.
EndNote Doğan E, Mouline Doğan M, Gül S, Çullu N (February 1, 2019) Left persistent superior vena cava with large coronary sinus: A case report. Journal of Surgery and Medicine 3 2 194–196.
IEEE E. Doğan, M. Mouline Doğan, S. Gül, and N. Çullu, “Left persistent superior vena cava with large coronary sinus: A case report”, J Surg Med, vol. 3, no. 2, pp. 194–196, 2019, doi: 10.28982/josam.470445.
ISNAD Doğan, Emrah et al. “Left Persistent Superior Vena Cava With Large Coronary Sinus: A Case Report”. Journal of Surgery and Medicine 3/2 (February 2019), 194-196. https://doi.org/10.28982/josam.470445.
JAMA Doğan E, Mouline Doğan M, Gül S, Çullu N. Left persistent superior vena cava with large coronary sinus: A case report. J Surg Med. 2019;3:194–196.
MLA Doğan, Emrah et al. “Left Persistent Superior Vena Cava With Large Coronary Sinus: A Case Report”. Journal of Surgery and Medicine, vol. 3, no. 2, 2019, pp. 194-6, doi:10.28982/josam.470445.
Vancouver Doğan E, Mouline Doğan M, Gül S, Çullu N. Left persistent superior vena cava with large coronary sinus: A case report. J Surg Med. 2019;3(2):194-6.
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