Positional desaturation due to persistent left superior vena cava draining into the left atrium

Kousuke Shirakawa; Akio Kawamura; Naoto Muraoka; Mitsushige Murata; Hikaru Tsuruta; Ryo Aeba; Keiichi Fukuda

doi:10.1007/s00380-015-0643-7

Positional desaturation due to persistent left superior vena cava draining into the left atrium

Kousuke Shirakawa, Akio Kawamura, Naoto Muraoka, Mitsushige Murata, Hikaru Tsuruta, Ryo Aeba, Keiichi Fukuda

Research output: Contribution to journal › Article › peer-review

3 Citations (Scopus)

Abstract

Persistent left superior vena cava (PLSVC) is a rare congenital anomaly whose prevalence is 0.3 % of general population. The majority of PLSVC drain into right atrium (RA) through the coronary sinus without clinical harm. However, in about 10 % of patients with PLSVC, it drains into left atrium (LA) causing right-to-left shunt. Here, we present a 60-year-old male patient with a PLSVC draining into LA, who developed dyspnea and desaturation depending on the body position after trans-catheter coil embolization of coronary to pulmonary artery fistulas. PLSVC draining into LA should be included in the differential diagnosis of positional desaturation.

Original language	English
Pages (from-to)	828-830
Number of pages	3
Journal	Heart and vessels
Volume	31
Issue number	5
DOIs	https://doi.org/10.1007/s00380-015-0643-7
Publication status	Published - 2016 May 1

Keywords

Adult congenital heart disease
Coil embolization
Coronary artery to pulmonary artery fistula

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine

Access to Document

10.1007/s00380-015-0643-7

Cite this

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title = "Positional desaturation due to persistent left superior vena cava draining into the left atrium",

abstract = "Persistent left superior vena cava (PLSVC) is a rare congenital anomaly whose prevalence is 0.3 % of general population. The majority of PLSVC drain into right atrium (RA) through the coronary sinus without clinical harm. However, in about 10 % of patients with PLSVC, it drains into left atrium (LA) causing right-to-left shunt. Here, we present a 60-year-old male patient with a PLSVC draining into LA, who developed dyspnea and desaturation depending on the body position after trans-catheter coil embolization of coronary to pulmonary artery fistulas. PLSVC draining into LA should be included in the differential diagnosis of positional desaturation.",

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T1 - Positional desaturation due to persistent left superior vena cava draining into the left atrium

AU - Shirakawa, Kousuke

AU - Kawamura, Akio

AU - Muraoka, Naoto

AU - Murata, Mitsushige

AU - Tsuruta, Hikaru

AU - Aeba, Ryo

AU - Fukuda, Keiichi

PY - 2016/5/1

Y1 - 2016/5/1

N2 - Persistent left superior vena cava (PLSVC) is a rare congenital anomaly whose prevalence is 0.3 % of general population. The majority of PLSVC drain into right atrium (RA) through the coronary sinus without clinical harm. However, in about 10 % of patients with PLSVC, it drains into left atrium (LA) causing right-to-left shunt. Here, we present a 60-year-old male patient with a PLSVC draining into LA, who developed dyspnea and desaturation depending on the body position after trans-catheter coil embolization of coronary to pulmonary artery fistulas. PLSVC draining into LA should be included in the differential diagnosis of positional desaturation.

AB - Persistent left superior vena cava (PLSVC) is a rare congenital anomaly whose prevalence is 0.3 % of general population. The majority of PLSVC drain into right atrium (RA) through the coronary sinus without clinical harm. However, in about 10 % of patients with PLSVC, it drains into left atrium (LA) causing right-to-left shunt. Here, we present a 60-year-old male patient with a PLSVC draining into LA, who developed dyspnea and desaturation depending on the body position after trans-catheter coil embolization of coronary to pulmonary artery fistulas. PLSVC draining into LA should be included in the differential diagnosis of positional desaturation.

KW - Adult congenital heart disease

KW - Coil embolization

KW - Coronary artery to pulmonary artery fistula

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Positional desaturation due to persistent left superior vena cava draining into the left atrium

Abstract

Keywords

ASJC Scopus subject areas

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