title: Coronary artery bypass grafting with absent right superior vena cava in visceroatrial situs solitus.
abstract: We report on a 63-year-old man with an absence of right superior vena cava in visceroatrial situs solitus who underwent coronary artery bypass grafting. Preoperative echocardiography showed a dilated coronary sinus, and venography confirmed an absent right and a persistent left superior vena cava. Perioperatively, placement of a pulmonary artery catheter, site of venous cannulation, and management of associated rhythm abnormalities were of great concern. The assessment of the right superior vena cava is advisable in carrying out the surgical procedure without any difficulties related to this anomaly when the persistent left superior vena cava is suspected.
authors.affiliation: Department of Cardiovascular Surgery, Kitakyushu Municipal Medical Center, 2-1-1 Bashaku, Kokurakita-ku, Kitakyushu, Fukuoka 802-0077, Japan.
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Kurisu
authors.forename: Yoshie
authors.initials: Y
authors.lastname: Ochiai
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Kumeda
authors.forename: Satoshi
authors.initials: S
authors.lastname: Kimura
authors.forename: Kenichiro
authors.initials: K
authors.lastname: Tanaka
authors.forename: Ryuji
authors.initials: R
authors.lastname: Tominaga
mesh_terms: D000015:Abnormalities, Multiple; D001026:Coronary Artery Bypass; D006330:Heart Defects, Congenital / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D014683:Vena Cava, Superior / Q000002:abnormalities*