CardioVascular and Interventional Radiology

, Volume 26, Issue 3, pp 309–311 | Cite as

Utility of Magnetic Resonance Imaging in Cardiac Venous Anatomic Variants∗

  • Robert E. EckartEmail author
  • W. Shad Leitch
  • Eric A. Shry
  • Richard A. Krasuski
  • Michael J. Lane
  • Kenneth M. Leclerc
Case Report


The incidence of persistent left superior vena cava (PLSVC) is approximately 0.5% in the general population; however, the coexistent absence of the right SVC has a reported incidence in tertiary centers of 0.1%. The vast majority of reports are limited to pediatric cardiology. Likewise, sinus of Valsalva aneurysm is a rare congenital anomaly, with a reported incidence of 0.1–3.5% of all congenital heart defects. We present a 71-year-old patient undergoing preoperative evaluation for incidental finding of aortic root aneurysm, and found to have all three in coexistence. Suggestive findings were demonstrated on cardiac catheterization and definitive diagnosis was made by magnetic resonance imaging. The use of MRI for the diagnosis of asymptomatic adult congenital heart disease will be reviewed.


MR-angiography Vena cava Cardiac Congenital 


  1. 1.
    Goldberg, N, Krasnow, N 1990Sinus of Valsalva aneurysms.Clin Cardiol13831836PubMedGoogle Scholar
  2. 2.
    Garduno, C 1999Persistent left superior vena cava and partial anomalous pulmonary venous connection: Incidental diagnosis by transesophageal echocardiography during coronary artery bypass surgery.J Am Soc Echocardiogr12682685PubMedGoogle Scholar
  3. 3.
    Halbertsma, MJ 1862Vena cava superior sinistra.Nedrl Tijdschr Geneesk6610Quoted by Karnegis et al. [4]Google Scholar
  4. 4.
    Karnegis, JN, Wang, Y, Winchell, P, Edwards, JE 1964Persistent left superior vena cava, fibrous remnant of the right superior vena cava and ventricular septal defect.Am J Cardiol14573577PubMedGoogle Scholar
  5. 5.
    Pugliese, P, Murzi, B, Aliboni, M,  et al. 1984Absent right superior vena cava and persistent left superior vena cava: clinical and surgical considerations.J Cardiovasc Surg25134137Google Scholar
  6. 6.
    Lenox, CC, Zuberbuhler, JR, Park, SC, Neches, WH, Mathews, RA, Fricker, FJ, Bahnson, HT, Siewers, RD 1980Absent right superior vena cava with persistent left superior vena cava: implications and management.Am J Cardiol45117122PubMedGoogle Scholar
  7. 7.
    Mooney, DP, Snyder, CL, Holder, TM 1993An absent right and persistent left superior vena cava in an infant requiring extracorporeal membrane oxygenation therapy.J Pediatr Surg2816331634PubMedGoogle Scholar
  8. 8.
    Kaemmerer, H, Prokop, M, Schirg, E, Emter, M, Hesel, C, Daniel, W, Kallfelz, HC 1994[Unilateral left superior vena cava in absent right superior vena cava. Modern imaging diagnosis and clinical relevance].Z Kardiol83386391PubMedGoogle Scholar
  9. 9.
    Marin-Garcia, J, Sanmarti, J, Moller, JH 1978Congenital absence of the right superior vena cava: report of two cases.Eur J Cardiol7293297PubMedGoogle Scholar
  10. 10.
    Dosios, T, Gorgogiannis, D, Sakorafas, G, Karampatsas, K 1991Persistent left superior vena cava: a problem in the transvenous pacing of the heart.Pacing Clin Electrophysiol14389390PubMedGoogle Scholar
  11. 11.
    Hara, Y, Ota, K, Fujita, M, Suzuki, H 1994Absence of right superior vena cava that was not detected by insertion of a pulmonary arterial catheter via the right internal jugular vein.J Clin Monit10210212PubMedGoogle Scholar
  12. 12.
    Yarnal, JR, Smiley, WH, Schwartz, DA 1979Unusual course of a Swan-Ganz catheter.Chest76585587PubMedGoogle Scholar
  13. 13.
    Balasundaram, A, Al-Halees, Z, Duran, C 1991Persistent left superior vena cava: A simple technique for adequate drainage during cardiopulmonary bypass.J Cardiovasc Surg325961Google Scholar
  14. 14.
    Broka, S, Ducart, A, Collard, E,  et al. 1997Persistent left superior vena cava: Transesophageal echocardiographic findings and surgical strategies.Acta Chir Belg978689PubMedGoogle Scholar
  15. 15.
    Podolsky, LA, Jacobs, LE, Schwartz, M,  et al. 1992Transesophageal echocardiography in the diagnosis of the persistent left superior vena cava.J Am Soc Echocardiogr5159162PubMedGoogle Scholar
  16. 16.
    Voci, P, Luzi, G, Agati, L 1995Diagnosis of persistent left superior vena cava by multiplane transesophageal echocardiography.Cardiologia40273275Google Scholar
  17. 17.
    Wimpfheimer, O, Boxt, LM 1999MR imaging of adult patients with congenital heart disease.Radiol Clin North Am37421438PubMedGoogle Scholar

Copyright information

© Springer-Verlag New York, Inc. 2003

Authors and Affiliations

  • Robert E. Eckart
    • 1
    Email author
  • W. Shad Leitch
    • 2
  • Eric A. Shry
    • 1
  • Richard A. Krasuski
    • 3
  • Michael J. Lane
    • 4
  • Kenneth M. Leclerc
    • 1
  1. 1.Cardiology ServiceBrooke Army Medical Center, 3851 Roger Brooke Drive, Fort Sam Houston, Texas 78234-6200USA
  2. 2.Internal MedicineBrooke Army Medical Center, 3851 Roger Brooke Drive, Fort Sam Houston, Texas 78234-6200USA
  3. 3.Cardiology ServiceWilford Hall Air Force Medical Center, TexasUSA
  4. 4.Department of RadiologyBrooke Army Medical Center, 3851 Roger Brooke Drive, Fort Sam Houston, Texas 78234-6200USA

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