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Pediatric Cardiology
Published in: Pediatric Cardiology 4/2008

01-07-2008 | Case Report

Congenital Communication of a Retroaortic Innominate Vein with Both the Left and Right Atria in the Presence of a Normal Coronary Sinus

Authors: Mark D. Townsend, Richard A. Jonas, William B. Moskowitz

Published in: Pediatric Cardiology | Issue 4/2008

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Abstract

We report the first known case of a retro-aortic innominate vein providing continuity between both the left and right atria in the presence of a left superior vena cava and a normal coronary sinus. This unusual structure created a bidirectional shunt with clinical desaturation at baseline and it complicated the management of a 9-year-old patient while undergoing mechanical ventilation. An embryologic mechanism that explains the development of this complex remains elusive.
Literature
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Edwards JE, DuShane JW (1950) Thoracic venous anomalies. Arch Pathol 49:517–537
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Gerlis LM, Ho SY (1989) Anomalous subaortic position of the brachiocephalic vein: a review of published reports and report of three new cases. Br Heart J 61(6):540–545PubMedCrossRef
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Geva T, Van Praagh S (2001) Abnormal systemic venous connections. In: Allen HD, Gutgessell HP, Edward BC, Driscoll DJ (eds) Heart disease in infants, children, and adolescents. Lippincot Williams & Wilkins, Philadelphia, pp 774–776
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Geva T, Van Praagh S (2001) Abnormal systemic venous connections. In: Allen HD, Gutgessell HP, Edward BC, Driscoll DJ (eds) Heart disease in infants, children, and adolescents. Lippincot Williams & Wilkins, Philadelphia
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Kato Y, Miyamoto S, Minamimura H, Ishikawas T, Ohue K, Shimizu Y (2005) Persistent left superior vena cava draining to the left atrium with normal coronary sinus. Jpn J Thorac Cardiovasc Surg 53(1):46–48PubMedCrossRef
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Metadata
Title
Congenital Communication of a Retroaortic Innominate Vein with Both the Left and Right Atria in the Presence of a Normal Coronary Sinus
Authors
Mark D. Townsend
Richard A. Jonas
William B. Moskowitz
Publication date
01-07-2008
Publisher
Springer-Verlag
Published in
Pediatric Cardiology / Issue 4/2008
Print ISSN: 0172-0643
Electronic ISSN: 1432-1971
DOI
https://doi.org/10.1007/s00246-007-9195-7

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