Multiple anomalies of caval veins in a patient with pulmonic stenosis.
Anomalies of the supra-diaphragmatic portion of the inferior caval vein are rare in patients with normal sinus. We recently encountered a patient with situs solitus and infundibular pulmonic stenosis who had bifurcation of the supra-diaphramatic portion of the inferior caval vein with anomalous high insertion of one portion into the mid-right atrium. The other division joined the coronary sinus which also received a persistent left superior caval vein and left hepatic veins. Biplane angiography was used to delineate the anatomy. Pre-operative delineation is required as this anomaly complicates cardio-pulmonary bypass.
Mantri
R R
RR
Department of Cardiology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, India.
Bajaj
R
R
Shrivastava
S
S
D000015:Abnormalities, Multiple / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D002315:Cardiopulmonary Bypass; D002648:Child; D005260:Female; D006503:Hepatic Veins / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D011666:Pulmonary Valve Stenosis / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D011859:Radiography; D014463:Ultrasonography; D014682:Vena Cava, Inferior / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery; D014683:Vena Cava, Superior / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery