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Bilateral Absence of Superior Vena Cava

Abstract

The absence of a right superior vena cava (SVC) in situs solitus is very rare, and even then it is usually associated with left SVC. There have been few case reports in the literature of isolated bilateral absence of SVC. Bilateral absent SVC can have clinical implication, including pacemaker placements, central venous line placement, monitoring, and occasionally associated anomalies. We describe a case detected on fetal echocardiogram with bilateral absent SVC and structurally normal heart.

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References

  1. Barrea C, Ovaert C, Moniotte S, Biard JM, Steenhaut P, Bernard P (2011) Prenatal diagnosis of abnormal cardinal systemic venous return without other heart defects: a case series. Prenat Diagn 31:380–388

    PubMed  Article  Google Scholar 

  2. Bartram U, Van Praagh S, Levine JC, Hines M, Bensky AS, Van Praagh R (1997) Absent right superior vena cava in visceroatrial situs solitus. Am J Cardiol 80:175–183

    PubMed  Article  CAS  Google Scholar 

  3. Choi JY, Anderson RH, Macartney FJ (1987) Absent right superior caval vein (vena cava) with normal atrial arrangement. Br Heart J 57:474–478

    PubMed  Article  CAS  Google Scholar 

  4. Hussain SA, Chakravarty S, Chaikhouni A, Smith JR (1981) Congenital absence of superior vena cava: unusual anomaly of superior systemic veins complicating pacemaker placement. Pacing Clin Electrophysiol 4:328–334

    PubMed  Article  CAS  Google Scholar 

  5. Krasemann T, Kehl G, Vogt J, Asfour B (2003) Unusual systemic venous return with complete absence of the superior caval veins. Pediatr Cardiol 24:397–399

    PubMed  Article  CAS  Google Scholar 

  6. Lee CY, Jan SL, Wang TM, Chi CS (2005) Congenital chylothorax associated with isolated congenital hypoplastic superior caval vein: a case report. Acta Paediatr 94:1840–1843

    PubMed  Article  Google Scholar 

  7. Marin-Garcia J, Sanmarti J, Moller JH (1978) Congenital absence of the right superior vena cava: report of two cases. Eur J Cardiol 7:293–297

    PubMed  CAS  Google Scholar 

  8. Romer S, Opgen-Rhein B, Chaoui R, Scheer I, Czernik C, Obladen M (2006) Bilateral agenesis of the superior vena cava associated with congenital hydrothorax. Ultrasound Obstet Gynecol 28:842–844

    PubMed  Article  CAS  Google Scholar 

  9. Tacy TA, Silverman NH (2001) Systemic venous abnormalities: embryologic and echocardiographic considerations. Echocardiography 18:401–413

    PubMed  Article  CAS  Google Scholar 

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Correspondence to Manish Bansal.

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Movie 1. Fetal echocardogram showing the azygous vein connecting to the IVC. (MOV 742 kb)

Movie 2. Postnatal echocardiogram showing the connection of azygous vein to the IVC. (MOV 209 kb)

Movie 3. Postnatal echocardiogram with color showing the connection of azygous vein to the IVC. (MOV 332 kb)

246_2012_357_MOESM4_ESM.mov

Movie 4. CT angiogram showing both the azygous and hemiazygous veins joining together to drain into the IVC. (MOV 754 kb)

246_2012_357_MOESM4_ESM.mov

Movie 4. CT angiogram showing both the azygous and hemiazygous veins joining together to drain into the IVC. (MOV 754 kb)

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Bansal, M., Strainic, J. & Ashwath, R. Bilateral Absence of Superior Vena Cava. Pediatr Cardiol 34, 1031–1033 (2013). https://doi.org/10.1007/s00246-012-0357-x

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  • DOI: https://doi.org/10.1007/s00246-012-0357-x

Keywords

  • Superior vena cava
  • Congenital heart disease
  • Fetal echocardiography