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Journals
Romanian Journal of Cardiology
Volume 31 (2021): Issue 3 (September 2021)
Open Access
An Uncommon Congenital Abnormality Discovered Using Multimodality Cardiac Imaging in an Elder Hospitalized For Decompensated Heart Failure
Alexandra-Ioana Hriban
Alexandra-Ioana Hriban
,
Daniela Crisu
Daniela Crisu
,
Manuela Ursaru
Manuela Ursaru
,
Laurentiu Sorodoc
Laurentiu Sorodoc
and
Catalina Lionte
Catalina Lionte
| May 05, 2022
Romanian Journal of Cardiology
Volume 31 (2021): Issue 3 (September 2021)
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Article Category:
Case Presentation
Published Online:
May 05, 2022
Page range:
627 - 632
DOI:
https://doi.org/10.47803/rjc.2021.31.3.627
Keywords
heart failure
,
coronary sinus
,
persistent left superior vena cava
,
sinus venosus defect
,
multimodality imaging
© 2021 Alexandra-Ioana Hriban et al., published by Sciendo
This work is licensed under the Creative Commons Attribution 4.0 International License.
Figure 1
ECG: AF with ventricular rate of 110/min, LBBB, rare premature ventricular beats. B. CXR: cardiomegaly, convex middle arch, bilateral lung hypervascularity, and calcified aortic knob.
Figure 2
A. TTE: apical 4 chamber view with posterior tilt shows clearly dilated right heart chambers and CS. B. TTE: left parasternal long-axis view showing a dilated CS (diameter 24 mm), descending thoracic aorta (DA) of 20 mm. C. TOE longitudinal plane (bicaval view) showing a superior SVD with right-to-left shunt evident as contrast study with agitated saline solution moves through the SVD to LA; SVC, superior vena cava; RA, right atrium; LA, left atrium. D. TOE view of sinus venosus ASD: enlarged RA, and color flow showing bi-directional shunt.
Figure 3
A. Thoracic CT angiography, axial section, mediastinal view shows RSVC and LSVC with a communicating vein of 8 mm (CV) between the sternum and great vessels (green arrows). B. Thoracic CT angiography, axial section, mediastinal view: dilated main, right and left PA, aorta (Ao), LSVC between Ao and LPA, the RSVC in normal position (green arrows). C. Thoracic CT angiography coronal section, mediastinal view: brachiocephalic trunk continues with persistent LSVC (22/18 mm – AP/T) which descends lateral from the aortic arch, LPA, LA and anterior from left inferior pulmonary vein (green arrows), joining the CS which is grossly dilated in calibre and draining into RA. D. Thoracic CT angiography coronal section, mediastinal view: RSVC draining in the RA, partially visible LSVC (green arrows).