Abstract
We report on a 63-year-old man with an absence of right superior vena cava in visceroatrial situs solitus who underwent coronary artery bypass grafting. Preoperative echocardiography showed a dilated coronary sinus, and venography confirmed an absent right and a persistent left superior vena cava. Perioperatively, placement of a pulmonary artery catheter, site of venous cannulation, and management of associated rhythm abnormalities were of great concern. The assessment of the right superior vena cava is advisable in carrying out the surgical procedure without any difficulties related to this anomaly when the persistent left superior vena cava is suspected.
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Bartram U, Van Praagh S, Levine JC, Hines M, Bensky AS, Van Praagh R. Absent right superior vena cava in visceroatrial situs solitus. Am J Cardiol 1997; 80: 175–83.
Lenox CC, Zuberbuhler JR, Park SC, Neches WH, Mathews RA, Fricker FJ, et al. Absent right superior vena cava with persistent left superior vena cava: Implications and management. Am J Cardiol 1980; 45: 117–22.
Biffi M, Boriani G, Frabetti L, Bronzetti G, Branzi A. Left superior vena cava persistence in patients undergoing pacemaker or cardioverter-defibrillator implantation: A 10-year experience. Chest 2001; 120: 139–44.
Hara Y, Ota K, Fujita M, Suzuki H. Absence of right superior vena cava that was not detected by insertion of a pulmonary arterial catheter via the right internal jugular vein. J Clin Monit 1994; 10: 210–2.
Menendez B, Garcia del Valle S, Marcos RC, Azofra J, Gomez-Arnau J. Left superior vena cava: A vascular abnormality discovered following pulmonary artery catheterization. Can J Anaesth 1996; 43: 626–8.
Bernardis C, Chatzis A, Treasure T. Absence of the right superior caval vein associated with disease of the sinus node. Int J Cardiol 1992; 36: 115–7.
Villani GQ, Piepoli M, Quaretti P, Died G. Cardiac pacing in unilateral left superior vena cava: Evaluation by digital angiography. Pacing Clin Electrophysiol 1991; 14 (11 Pt 1): 1566–7.
Mooney DP, Snyder CL, Holder TM. An absent right and persistent left superior vena cava in an infant requiring extracorporeal membrane oxygenation therapy. J Pediatr Surg 1993; 28: 1633–4.
Watanabe M, Iwaya F, Igari T, Hagiwara K, Tanji M, Satokawa H, et al. Two cases of atrial septal defect with absence of right superior vena cava and persistent left superior vena cava (Eng abstr). Kyobu Geka 1992; 45: 607–11.
James TN, Marshall TK, Edwards JE. De subitaneis mortibus. XX. Cardiac electrical instability in the presence of a left superior vena cava. Circulation 1976; 54: 689–97.
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Kurisu, K., Ochiai, Y., Kumeda, H. et al. Coronary artery bypass grafting with absent right superior vena cava in visceroatrial situs solitus. Jpn J Thorac Caridovasc Surg 52, 191–193 (2004). https://doi.org/10.1007/s11748-004-0106-z
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DOI: https://doi.org/10.1007/s11748-004-0106-z