Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2013 Jan 15:8:9.
doi: 10.1186/1749-8090-8-9.

Mitral valve repair in patient with absent right superior vena cava in visceroatrial situs solitus

Toshiro Kobayashi  1 , Takeshi Yagi, Yoshikazu Okazaki, Mitsutaka Jinbo, Satoshi Saito, Tsuyoshi Takahashi, Hidenori Gohra
Affiliations
Case Reports

Mitral valve repair in patient with absent right superior vena cava in visceroatrial situs solitus

Toshiro Kobayashi et al. J Cardiothorac Surg. .

Abstract

We report on a 74-year-old woman with an absence of right superior vena cava in visceroatrial situs solitus who underwent mitral valve plasty for severe mitral regurgitation. Preoperative three-dimensional computed tomography revealed an absent right and persistent left superior vena cava that drained into the right atrium by way of the coronary sinus. Perioperaively, placement of pulmonary artery catheter, site of venous cannulation, and management of associated rhythm abnormalities were great concern. Obtaining the information about this central venous malformation preoperatively, we performed mitral valve plasty without any difficulties related to this anomaly.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Contrast enhanced CT Thorax scan with the 3D reconstruction of the heart; 1A: anterior view; 1B: left lateral view. The left sided superior vena cava (PLSVC: *) is being formed by the bridging vein (BV), which drains the jugular and subclavian vein. The left brachiocephalic vein is not present since contrast medium was injected via a right cubital vein. PLSVC descended at the left side of the mediastinum leftward of the pulmonary artery and left atrium before draining into the right atrium via a dilated coronary sinus. Ao: Aorta, PA: Pulmonary artery, CS: Coronary sinus.
Figure 2
Figure 2
Operative finding showed a complete absence of the right superior vena cava. Ao: Ascending aorta, RAA: Right atrial appendage, RV: Right ventricle. Arrowhead: PLSVC.
See this image and copyright information in PMC

Similar articles

See all similar articles

References

    1. Bartram U, Van Praagh S, Levine JC, Hines M, Bensky AS, Van Praagh R. Absent right superior vena cava in visceroatrial situs solitus. Am J Cardiol. 1997;80:175–183. doi: 10.1016/S0002-9149(97)00314-7. - DOI - PubMed
    1. Lenox CC, Zuberbuhler JR, Park SC, Neches WH, Mathews RA, Fricker FJ, Bahnson HT, Siewers RD. Absent right superior vena cava with persistent left superior vena cava: implications and management. Am J Cardiol. 1980;45:117–122. doi: 10.1016/0002-9149(80)90228-3. - DOI - PubMed
    1. Biffi M, Boriani G, Frabetti L, Bronzetti G, Branzi A. Left superior vena cava persistence in patients undergoing pacemaker or cardioverter-defibrillator implantation: a 10-year experience. Chest. 2001;120:139–144. doi: 10.1378/chest.120.1.139. - DOI - PubMed
    1. Uçar O, Paşaoğlu L, Ciçekçioğlu H, Vural M, Kocaoğlu I, Aydoğdu S. Persistent left superior vena cava with absent right superior vena cava: a case report and review of the literature. Cardiovasc J Afr. 2010;21:164–166. - PMC - PubMed
    1. Heye T, Wengenroth M, Schipp A, Johannes Dengler T, Grenacher L, Werner Kauffmann G. Persistent left superior vena cava with absent right superior vena cava: morphological CT features and clinical implications. Int J Cardiol. 2007;116:103–105. doi: 10.1016/j.ijcard.2006.08.067. - DOI - PubMed

Publication types