Abstract
The case presented here is a 27-year-old patient who was born with common atrium and left superior vena cava (LSVC). Construction of interatrial septum and intraatrial baffle with pericardium was performed 16 years ago. Radionuclide angiocardiography (RAC) showed that a substantial amount of blood flow from the LSVC was directed to the inferior vena cava through the hemiazygos vein (HAV). It also detected a baffle leak and a left to right shunt at the atrial level. Subsequent RAC after reoperation initially showed insignificant flow through the atrial baffle, major flow through the HAV, and no shunt. Repeat RAC one year after surgery showed increased flow through the baffle and diminished flow through the HAV, without a satisfying explanation. This case illustrates the value of RAC in detecting various types of cardiovascular abnormality and subtle hemodynamic changes.
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References
Campbell M, Deuchar DC (1954) Left sided superior vena cava. Br Heart J 16:423–439
Eybalin MC, Taillefer R, Bonan R, Dupras G (1984) Duplication of the superior vena cava: detection by radionuclide angiography. Eur J Nucl Med 9:247–249
Konstam MA, Levine BW, Strauss HW, McKusick KA (1979) Left superior vena cava to left atrial communication diagnosed with radionuclide angiocardiography and with differential right to left shunting. Am J Cardiol 43:149–153
Lenox CC, Zuberbuhler JR Park SC, Neches WH, Mathews RA, Fricker FJ, Bahnson HT, Siewers RD (1980) Absent right superior vena cava with persistent left superior vena cava: implications and management. Am J Cardiol 45:117–122
Pugliese P, Murzi B, Aliboni M, Eufrate S (1984) Absent right superior vena cava and persistent left superior vena cava. Clinical and surgical considerations. J Cardiovasc Surg 25: 134–137
Rastelli GC, Rahimtoola SH, Ongley PA, Mc Goon DC (1968) Common atrium: Anatomy, hemodynamics, and surgery. J Thorac Cardiovasc Surg 55:834–841
Sherafat M, Friedman S, Waldhausen JA (1971) Persistent left superior vena cava draining into the left atrium with absent right superior vena cava. Ann Thorac Surg 11:160–164
Stevens JS, Mishkin FS (1975) Persistent left superior vena cava demonstrated by radionuclide angiocardiography. J Nucl Med 16:469
Taybi H, Kurlander GJ, Lurie PR, Campbell JA (1965) Anomalous systemic venous connection to the left atrium or to a pulmonary vein. AJR 94:62–77
Treves ST, Hurwitz R, Kuruc A, Strauss HW (1985) Heart. In: Treves ST (ed) Pediatric Nuclear Medicine. Springer, New York Heidelberg Berlin, pp 245–287
Webb WR, Gamsu G, Speckman JM Kaiser JA, Federle MP, Lipton MJ (1982) Computed tomographic demonstration of mediastinal venous anomalies. AJR 139:157–161
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Brendel, A.J., Guyot, M., Barat, J.L. et al. Detection of anomalous systemic venous return and intraatrial baffle leakage by radionuclide angiocardiography. Eur J Nucl Med 13, 482–486 (1987). https://doi.org/10.1007/BF00281866
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DOI: https://doi.org/10.1007/BF00281866