Persistent Left Superior Vena Cava: Implications of Surgical Management

Persistent left superior vena cava is the most common congenital anomaly of thoracic venous return, which results when the left anterior cardinal vein fails to regress. A 41-year-old African American male with a history of an unspecified childhood cardiac murmur presented to the emergency department...

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Bibliographic Details
Published in:JIM - high impact case reports 2019-01, Vol.7, p.2324709619855754-2324709619855754
Main Authors: Boyer, Robin, Sidhu, Ramanjeet, Ghandforoush, Aslan, Win, Theingi, Heidari, Arash
Format: Article
Language:English
Subjects:
Adult
Case Report
Case reports
Defibrillators
Defibrillators, Implantable
Heart Defects, Congenital - diagnosis
Heart Defects, Congenital - surgery
Heart Failure - etiology
Heart Transplantation
Heart transplants
Humans
Incidental Findings
Male
Medical malpractice
Vena Cava, Superior - abnormalities
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Summary:Persistent left superior vena cava is the most common congenital anomaly of thoracic venous return, which results when the left anterior cardinal vein fails to regress. A 41-year-old African American male with a history of an unspecified childhood cardiac murmur presented to the emergency department with congestive heart failure exacerbation revealing an incidental finding of a persistent left superior vena cava. Ultimately, he required implantable cardioverter defibrillator placement and cardiac transplantation assessment. In the setting of advanced device placement or cardiac transplantation, a persistent left superior vena cava warrants several important clinical considerations at a center capable of addressing the possibility of a right-sided approach and transplantation irregularities.
ISSN:2324-7096
2324-7096
DOI:10.1177/2324709619855754