title: Anomalous hepatic vein drainage into a giant left atrium.
abstract: A 56-year-old man with a history of complex atrial-septal defect repair, atrial fibrillation, and severe mitral regurgitation presented with progressive shortness of breath. A cardiac CT examination was done as part of a preoperative protocol before mitral valve replacement and it showed a severely enlarged left atrium and an anomalous hepatic vein draining into the left atrium. These findings were totally unsuspected and changed the patient management, highlighting the benefit of cardiac CT beyond the coronary finding.
authors.affiliation: Zena and Michael A. Wiener Cardiovascular Institute and Marie-Josee and Henry R. Kravis Center for Cardiovascular Health, Icahn School of Medicine, Mount Sinai, One Gustave L. Levy Place, New York, NY 10029-6574, USA. Electronic address: carlos.gonzalezlengua@mountsinai.org.
authors.forename: Carlos Andres
authors.initials: CA
authors.lastname: Gonzalez Lengua
authors.affiliation: Cardiology department, Hospital Meixoeiro, Vigo, Spain.
authors.forename: Lucia
authors.initials: L
authors.lastname: Rioboo Leston
authors.affiliation: Zena and Michael A. Wiener Cardiovascular Institute and Marie-Josee and Henry R. Kravis Center for Cardiovascular Health, Icahn School of Medicine, Mount Sinai, One Gustave L. Levy Place, New York, NY 10029-6574, USA.
authors.forename: Harvey S
authors.initials: HS
authors.lastname: Hecht
authors.affiliation: Icahn School of Medicine at Mount Sinai One Gustave L. Levy Place, New York, NY 10029-6574, USA.
authors.forename: Adam
authors.initials: A
authors.lastname: Jacobi
mesh_terms: D006325:Heart Atria / Q000002:abnormalities* / Q000000981:diagnostic imaging*; D006503:Hepatic Veins / Q000002:abnormalities* / Q000000981:diagnostic imaging*; D006801:Humans; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed / Q000379:methods*
keywords: Anomalous hepatic vein; Cardiac shunt; Enlarge left atrium