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Coronary Sinus Atresia With Persistent Left Superior Vena Cava: Unusual Clinical Presentation and Endovascular Management

Qanadli, Salah ; Rolf, Tanina ; Glauser, Frederic ; Delay, Dominique ; Beigelman-Aubry, Catherine ; Prêtre, René

In: CardioVascular and Interventional Radiology, 2014, vol. 37, no. 3, p. 825-828

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    Titel
    • Coronary Sinus Atresia With Persistent Left Superior Vena Cava: Unusual Clinical Presentation and Endovascular Management
    Autor
    • Qanadli, Salah. Cardio-Thoracic and Vascular Unit, Department of Radiology, Lausanne University Hospital, Rue du Bugnon 46, 1011, Lausanne, Switzerland
    • Rolf, Tanina. Department of Cardiovascular Surgery, Lausanne University Hospital, Rue du Bugnon 46, 1011, Lausanne, Switzerland
    • Glauser, Frederic. Cardio-Thoracic and Vascular Unit, Department of Radiology, Lausanne University Hospital, Rue du Bugnon 46, 1011, Lausanne, Switzerland
    • Delay, Dominique. Department of Cardiovascular Surgery, Lausanne University Hospital, Rue du Bugnon 46, 1011, Lausanne, Switzerland
    • Beigelman-Aubry, Catherine. Cardio-Thoracic and Vascular Unit, Department of Radiology, Lausanne University Hospital, Rue du Bugnon 46, 1011, Lausanne, Switzerland
    • Prêtre, René. Department of Cardiovascular Surgery, Lausanne University Hospital, Rue du Bugnon 46, 1011, Lausanne, Switzerland
    Dokumententyp
    • Postprint
    Sprache
    • Englisch
    Veröffentlicht in
    • CardioVascular and Interventional Radiology, 2014, vol. 37, no. 3, p. 825-828. Springer US; http://www.springer-ny.com
    Andere elektronische Ausgabe
    OAI-PMH-ID
    • oai:doc.rero.ch:326088
    Summary
    Atresia of the coronary sinus (ACS) is a rare congenital anomaly. When associated with persistent left superior vena cava (PLSVC), this defect could have no significant hemodynamic effect, and the patient might remain asymptomatic. However, vascular interventions might induce changes or complications that could show the anomaly. Appropriate management requires a good understanding of this condition. We present the first reported case of ACS and PLSVC occurring after thrombosis of the innominate vein (IV) after central venous catheter placement. The patient presented with atypical subacute chest pain and recurrent extrasystoles. Diagnosis and characterization of vascular anomalies was made by computed tomography phlebography, and the patient was successfully managed by endovascular recanalization of the IV.