Persistent Left Superior Vena Cava Draining Into the Left Atrium Found During Bypass Operation

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• 作者：Catharina Schreiber ; MD^a ; Michael Kirnbauer ; MD^b ; Reinhold Hoellinger^a ; Rainald Seitelberger ; MD^a ; Roman Gottardi ; MD^a ; ^{roman.gottardi@gmail.com}
• 刊名：The Annals of Thoracic Surgery
• 出版年：2017
• 出版时间：February 2017
• 年：2017
• 卷：103
• 期：2
• 页码：e161-e162
• 全文大小：457 K
• 卷排序：103

文摘

We report the case of a 72-year-old woman who underwent urgent coronary bypass grafting (CABG). Intraoperatively a persistent left superior vena cava (PLSVC) draining into the left atrium was detected. Because of the resulting right-to-left shunt volume even after complete drainage and collapse of the right atrium, the heart was still ejecting in the absence of significant aortic insufficiency. Thorough examination revealed a PLSVC draining into the left atrium. After ligation of the PLSVC, the CABG could be performed as planned.