Aortic valve stenosis causing a left-to-right shunt in persistent left superior vena cava communicating with the left atrium.
This study demonstrated a rare anomaly of a persistent left superior vena cava draining into the left atrium in a patient with developing left-to-right shunt caused by bicuspid aortic stenosis. The venous system, including the coronary sinus, was otherwise normal. We believe that, in this anatomic situation, a marked increase in left ventricular impedance caused a moderate left-to-right shunt from the left atrium into the left innominate vein. At operation, the aortic valve was replaced with a mechanical prosthesis and the anomalous vein was ligated. The convalescence was uneventful.
Wang
S Y
SY
Department of Surgery, Tampere University Hospital, Finland.
Talvensaari
T
T
Tarkka
M R
MR
D000015:Abnormalities, Multiple / Q000000981:diagnostic imaging; D001024:Aortic Valve Stenosis / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D001672:Biocompatible Materials; D017548:Echocardiography, Transesophageal; D005500:Follow-Up Studies; D006325:Heart Atria / Q000002:abnormalities* / Q000000981:diagnostic imaging; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008026:Ligation; D008185:Lutembacher Syndrome / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D014683:Vena Cava, Superior / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery
D001672:Biocompatible Materials