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Atrial tachycardia originating from the hepatic segment of inferior vena cava in interruption of inferior vena cava with azygos continuation

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Abstract

Interruption of inferior vena cava (IVC) with azygos continuation is a rare venous anomaly, and arrhythmogenic IVC is also rarely reported. Arrhythmogenicity of the hepatic segment of IVC in interruption of IVC has never been reported. We describe the case of a 37-year-old female with interrupted left IVC with azygos continuation to right superior vena cava and atrial tachycardia originating from the hepatic segment of IVC.

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References

  1. Spach, M. S., Barr, R. C., & Jewett, P. H. (1972). Spread of excitation from the atrium into thoracic veins in human beings and dogs. The American Journal of Cardiology, 30(8), 844–854.

    Article  PubMed  CAS  Google Scholar 

  2. Gaynor, J. W., Bridges, N. D., & Spray, T. L. (2000). Congenital Heart Surgery Nomenclature and Database Project: end-stage lung disease. The Annals of Thoracic Surgery, 69(4 Suppl), S343–S357 [Review].

    Article  PubMed  CAS  Google Scholar 

  3. Anderson, R. C., Adams, P., Jr., & Burke, B. (1961). Anomalous inferior vena cava with azygos continuation (infrahepatic interruption of the inferior vena cava). Report of 15 new cases. Journal of Pediatrics, 59, 370–383.

    Article  PubMed  CAS  Google Scholar 

  4. Schoenwolf, G. C. (2009). Larsen’s human embryology, 4th edition. New York: Churchill Livingstone.

    Google Scholar 

  5. Bass, J. E., Redwine, M. D., Kramer, L. A., Huynh, P. T., & Harris, J. H., Jr. (2000). Spectrum of congenital anomalies of the inferior vena cava: cross-sectional imaging findings. Radiographics, 20(3), 639–652 [Review].

    PubMed  CAS  Google Scholar 

  6. Koc, Z., & Oguzkurt, L. (2007). Interruption or congenital stenosis of the inferior vena cava: prevalence, imaging, and clinical findings. European Journal of Radiology, 62(2), 257–266.

    Article  PubMed  Google Scholar 

  7. Pecoraro, R., Proclemer, A., Pivetta, A., & Gianfagna, P. (2008). Radiofrequency ablation of atrioventricular nodal tachycardia in a patient with dextrocardia, inferior vena cava interruption, and azygos continuation. Journal of Cardiovascular Electrophysiology, 19(4), 444 [Case Reports].

    Article  PubMed  Google Scholar 

  8. Miranda, R., Simpson, C. S., Nolan, R. L., Diez, J. C., Michael, K. A., Redfearn, D. P., et al. (2010). Superior approach for radiofrequency ablation of atrio-ventricular nodal reentrant tachycardia in a patient with anomalous inferior vena cava and azygos continuation. Europace, 12(6), 908–909 [Case Reports].

    Article  PubMed  Google Scholar 

  9. Guerra Ramos, J. M., Font, E. R., & Moya, I. M. A. (2004). Radiofrequency catheter ablation of an accessory pathway through an anomalous inferior vena cava with azygos continuation. Europace, 6(2), 134–137 [Case Reports].

    Article  PubMed  Google Scholar 

  10. Malavasi, V. L., Casali, E., Rossi, L., & Grazia Modena, M. (2005). Radiofrequency catheter ablation of common atrial flutter in a patient with anomalous inferior vena cava and azygos continuation. Pacing and Clinical Electrophysiology, 28(7), 733–735 [Case Reports].

    Article  PubMed  Google Scholar 

  11. Lim, H. E., Pak, H. N., Tse, H. F., Lau, C. P., Hwang, C., & Kim, Y. H. (2009). Catheter ablation of atrial fibrillation via superior approach in patients with interruption of the inferior vena cava. Heart Rhythm, 6(2), 174–179 [Case Reports].

    Article  PubMed  Google Scholar 

  12. Kato, H., Kubota, S., Yamada, Y., Kumamoto, T., Takasawa, Y., Takahashi, N., et al. (2010). Circumferential pulmonary vein ablation of atrial fibrillation via superior vena cava approach in a patient with interruption of the inferior vena cava. Europace, 12(5), 746–748 [Case Reports].

    Article  PubMed  Google Scholar 

  13. Mansour, M., Ruskin, J., & Keane, D. (2002). Initiation of atrial fibrillation by ectopic beats originating from the ostium of the inferior vena cava. Journal of Cardiovascular Electrophysiology, 13(12), 1292–1295 [Case Reports].

    Article  PubMed  Google Scholar 

  14. Scavee, C., Jais, P., Weerasooriya, R., & Haissaguerre, M. (2003). The inferior vena cava: an exceptional source of atrial fibrillation. Journal of Cardiovascular Electrophysiology, 14(6), 659–662 [Case Reports Research Support, Non-U.S. Gov’t].

    Article  PubMed  Google Scholar 

  15. Yamane, T., Miyazaki, H., Inada, K., Matsuo, S., Miyanaga, S., Date, T., et al. (2005). Focal source of atrial fibrillation arising from the ostium of the inferior vena cava. Circulation Journal, 69(6), 756–759 [Case Reports].

    Article  PubMed  Google Scholar 

  16. Tsai, C. F., Tai, C. T., Hsieh, M. H., Lin, W. S., Yu, W. C., Ueng, K. C., et al. (2000). Initiation of atrial fibrillation by ectopic beats originating from the superior vena cava: electrophysiological characteristics and results of radiofrequency ablation. Circulation, 102(1), 67–74 [Clinical Trial Comparative Study Research Support, Non-U.S. Gov’t].

    Article  PubMed  CAS  Google Scholar 

  17. Hashizume, H., Ushiki, T., & Abe, K. (1995). A histological study of the cardiac muscle of the human superior and inferior venae cavae. Archives of Histology and Cytology, 58(4), 457–464.

    Article  PubMed  CAS  Google Scholar 

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Acknowledgments

The authors thank Dr. Paul M. Weinberg and Dr. J. William Gaynor for their helpful advices about the terminology and anatomy of the venous anomaly in this report.

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Authors and Affiliations

  1. Department of Cardiology, Saitama Red Cross Hospital, 8-3-33 Kamiochiai, Chuo-ku, Saitama, Saitama, 338-8553, Japan

    Kensuke Ihara & Junichi Nitta

  2. Heart Rhythm Center, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8510, Japan

    Kenzo Hirao

  3. Department of Cardiovascular Medicine, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8510, Japan

    Kensuke Ihara & Mitsuaki Isobe

Authors
  1. Kensuke Ihara
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  2. Junichi Nitta
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  3. Kenzo Hirao
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  4. Mitsuaki Isobe
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Corresponding author

Correspondence to Kensuke Ihara.

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Editorial Commentary

This is an interesting case report on an unusual site of origin of atrial arrhythmias in the presence of a congenital malformation.

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Ihara, K., Nitta, J., Hirao, K. et al. Atrial tachycardia originating from the hepatic segment of inferior vena cava in interruption of inferior vena cava with azygos continuation. J Interv Card Electrophysiol 36, 261–266 (2013). https://doi.org/10.1007/s10840-012-9702-5

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  • DOI: https://doi.org/10.1007/s10840-012-9702-5

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