Persistent left superior vena cava causing subdivided left atrium: diagnosis, embryological implications, and surgical management.
A 3-month-old infant is described in whom a persistent left superior vena cava impinged on the posterior wall of the left atrium, producing a subdivided left atrium with left-to-right shunting and congestive heart failure. To our knowledge, this anomaly has not previously been reported. The preoperative diagnosis, surgical management, and embryological implications are discussed.
Ascuitto
R J
RJ
Section of Pediatric Cardiology, Yale University School of Medicine, New Haven, CT 06510.
Ross-Ascuitto
N T
NT
Kopf
G S
GS
Fahey
J
J
Kleinman
C S
CS
Hellenbrand
W E
WE
Talner
N S
NS
D004452:Echocardiography; D006325:Heart Atria / Q000002:abnormalities; D006330:Heart Defects, Congenital / Q000473:pathology / Q000601:surgery*; D006333:Heart Failure / Q000209:etiology; D006801:Humans; D007223:Infant; D008297:Male; D014683:Vena Cava, Superior / Q000002:abnormalities*