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Anomalous Inferior Vena Cava Drainage to the Left Atrium With Successful Staged Repair in a 32-Year-Old Woman With Arthritis

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Abstract

This report describes a case involving anomalous drainage of inferior vena cava (IVC) to the left atrium diagnosed when the patient was 32 years old. The tricuspid valve and the right ventricle were small. Successful surgical repair was performed, with significant improvement of the patient’s clinical status. The use of exercise testing with pulse oxymetry monitoring aided in the decision of timing for closure of the iatrogenically created atrial septal defect.

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Correspondence to Iyad AL-Ammouri.

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246_2010_9738_MOESM1_ESM.mpg

Angioram in the antero-posterior projection showing dilated inferior vena cava that drains to the left atrium via a restrictive communication. Hepatic veins are seen draining normally to the inferior vena cava, and no flow is seen to the right ventricle or pulmonary artery (MPG 329 kb)

246_2010_9738_MOESM2_ESM.mpg

Right ventricular angiogram in the anterior-posterior projection via a catheter inserted through the right internal jugular vein showing small right ventricular cavity and tricuspid valve. Branch pulmonary arteries are normal (MPG 1472 kb)

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AL-Ammouri, I., Shomali, W., Alsmady, M.M. et al. Anomalous Inferior Vena Cava Drainage to the Left Atrium With Successful Staged Repair in a 32-Year-Old Woman With Arthritis. Pediatr Cardiol 31, 912–914 (2010). https://doi.org/10.1007/s00246-010-9738-1

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  • DOI: https://doi.org/10.1007/s00246-010-9738-1

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