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 journalArticle

2 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 languageEnglish
Pages (from-to)828-830
Number of pages3
JournalHeart and vessels
Volume31
Issue number5
DOIs
Publication statusPublished - 2016 May 1

Keywords

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

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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