title: A unique left-to-right shunt characterized by multimodality cardiac imaging.
abstract: We describe the first reported patient with a persistent left superior vena cava that communicates directly with the left atrium as an isolated congenital defect. She developed mitral stenosis and physiologic conditions that favored left-to-right shunting--a modified Lutembacher's syndrome. Noninvasive cardiac imaging completely elucidated her cardiac anatomy and physiology.
authors.affiliation: Department of Medicine, Rush Medical College, Chicago, IL, USA.
authors.forename: J H
authors.initials: JH
authors.lastname: Stein
authors.forename: L
authors.initials: L
authors.lastname: Broderick
authors.forename: A
authors.initials: A
authors.lastname: Neumann
authors.forename: R J
authors.initials: RJ
authors.lastname: Snell
authors.forename: P K
authors.initials: PK
authors.lastname: Hanashiro
authors.forename: D G
authors.initials: DG
authors.lastname: Caralis
mesh_terms: D017023:Coronary Angiography; D003326:Coronary Circulation; D017548:Echocardiography, Transesophageal; D005260:Female; D006801:Humans; D008185:Lutembacher Syndrome / Q000150:complications / Q000175:diagnosis*; D018810:Magnetic Resonance Angiography; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D008946:Mitral Valve Stenosis / Q000175:diagnosis / Q000209:etiology; D014683:Vena Cava, Superior / Q000002:abnormalities* / Q000000981:diagnostic imaging*