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Anomalous great cardiac vein draining into the right atrium combined with a single left coronary artery

  • Soo-Yeon Kim
  • Yoo Jin Hong
  • Hye-Jeong Lee
  • Jin Hur
  • Byoung Wook Choi
  • Young Jin KimEmail author
Case Report

Abstract

In contrast to the coronary arterial system, little attention has been paid to the coronary venous system in previous literature. We report a rare case of a combined anomaly of the coronary artery and the great cardiac vein (GCV). In this patient, the right coronary artery (RCA) arose from the left coronary artery, and the GCV drained directly into the right atrium. The anomalous RCA and GCV ran parallel courses along the anterior side of the right ventricular outflow tract. We briefly review the clinical significance and the role of cardiac computed tomography in this anomaly.

Keywords

Single coronary artery Great cardiac vein Computed tomography Retrograde cardioplegia 

Notes

Conflict of interest

None.

References

  1. 1.
    Saremi F, Muresian H, Sanchez-Quintana D (2012) Coronary veins: comprehensive CT-anatomic classification and review of variants and clinical implications. Radiographics 32(1):E1–E32PubMedCrossRefGoogle Scholar
  2. 2.
    Bergman RA, Thompson SA, Saadeh FA (1988) Absence of the coronary sinus. Anat Anz 166(1–5):9–12PubMedGoogle Scholar
  3. 3.
    von Ludinghausen M (1987) Clinical anatomy of cardiac veins Vv. cardiacae. Surg Radiol Anat 9(2):159–168CrossRefGoogle Scholar
  4. 4.
    Yener N, Surucu HS, Dogan R et al (2001) A case with dextrocardia, ventricular septal defect, persistent left superior vena cava and drainage of the great cardiac vein into the left internal thoracic vein. Surg Radiol Anat 23(3):205–206PubMedCrossRefGoogle Scholar
  5. 5.
    Kawashima T, Sato K, Sato F et al (2003) An anatomical study of the human cardiac veins with special reference to the drainage of the great cardiac vein. Ann Anat 185(6):535–542PubMedCrossRefGoogle Scholar
  6. 6.
    Iyer Praveen B (2006) Great cardiac vein draining directly into the right atrium. J Anat Soc India 55(2):60–64Google Scholar
  7. 7.
    Olearczyk BM, Menzies DJ, McNulty PH (2008) Anomalous great cardiac vein. J Card Surg 23(4):408–409PubMedCrossRefGoogle Scholar
  8. 8.
    Lee HM, Sung YM, Lee JI (2011) Anomalous great cardiac vein draining into the superior vena cava. Ann Thorac Surg 92(1):360PubMedCrossRefGoogle Scholar
  9. 9.
    Lipton MJ, Barry WH, Obrez I et al (1979) Isolated single coronary artery: diagnosis, angiographic classification, and clinical significance. Radiology 130(1):39–47PubMedGoogle Scholar
  10. 10.
    Allen BS, Winkelmann JW, Hanafy H et al (1995) Retrograde cardioplegia does not adequately perfuse the right ventricle. J Thorac Cardiovasc Surg 109(6):1116–1124 discussion 1124–1126PubMedCrossRefGoogle Scholar
  11. 11.
    Ruengsakulrach P, Buxton BF (2001) Anatomic and hemodynamic considerations influencing the efficiency of retrograde cardioplegia. Ann Thorac Surg 71(4):1389–1395PubMedCrossRefGoogle Scholar
  12. 12.
    Bogers AJ, Gittenberger-de Groot AC, Poelmann RE et al (1989) Development of the origin of the coronary arteries, a matter of ingrowth or outgrowth? Anat Embryol (Berl) 180(5):437–441CrossRefGoogle Scholar
  13. 13.
    Tomanek RJ (1996) Formation of the coronary vasculature: a brief review. Cardiovasc Res 31(Spec No):E46–E51PubMedGoogle Scholar
  14. 14.
    Bales GS (2004) Great cardiac vein variations. Clin Anat 17(5):436–443PubMedCrossRefGoogle Scholar
  15. 15.
    Pejkovic B, Bogdanovic D (1992) The great cardiac vein. Surg Radiol Anat 14(1):23–28PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media Dordrecht 2013

Authors and Affiliations

  • Soo-Yeon Kim
    • 1
  • Yoo Jin Hong
    • 1
  • Hye-Jeong Lee
    • 1
  • Jin Hur
    • 1
  • Byoung Wook Choi
    • 1
  • Young Jin Kim
    • 1
    Email author
  1. 1.Department of Radiology, Research Institute of Radiological Science, Severance HospitalYonsei University College of MedicineSeoulKorea

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