Coronary sinus aneurysm associated with multiple venous anomaliesReport as inadecuate




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BMC Cardiovascular Disorders

, 17:95

Non-coronary artery cardiac disease

Abstract

BackgroundCongenital anomalies of the venous system are rare, involve the inferior vena cava IVC, a persistent left superior vena cava PLSVC, and the left hepatic vein LHV, and can make cardiac diagnostic and therapeutic procedures difficult.

Case presentationWe present a 67-year-old woman without heterotaxy syndrome associated with interruption of the left IVC that continued with the hemiazygos vein system, a PLSVC, and an anomalous LHV draining the into coronary sinus CS. The venous anomalies caused a CS aneurysm. The anomalies were demonstrated by echocardiography and the diagnosis was established by contrast-enhanced computed tomography. Three days later, a coronary artery bypass graft was performed, which confirmed the diagnosis. Half a month after surgery, the pain had been relieved and the patient was discharged from the hospital.

ConclusionEchocardiography is a useful modality to diagnose and assess anomalies of the CS, including CS aneurysms. Congenital anomalies of the venous system in this case were all due to embryonic development abnormalities. Contrast-enhanced computed tomography provides a more comprehensive view of the entire course of abnormal veins.

KeywordsInterruption Left inferior vena cava Persistent left superior vena cava Hepatic vein Hemiazygos vein Coronary sinus Aneurysm AbbreviationsCSCoronary sinus CS

CSACoronary sinus aneurysm

IVCInferior vena cava

LHVLeft hepatic vein

PLSVCPersistent left superior vena cava

RARight atrium

R-SVCRight superior vena cava

Electronic supplementary materialThe online version of this article doi:10.1186-s12872-017-0532-3 contains supplementary material, which is available to authorized users.





Author: Guang Song - Ming Du - Weidong Ren - Ke Zhou - Lu Sun

Source: https://link.springer.com/







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