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An Uncommon Congenital Abnormality Discovered Using Multimodality Cardiac Imaging in an Elder Hospitalized For Decompensated Heart Failure Cover

An Uncommon Congenital Abnormality Discovered Using Multimodality Cardiac Imaging in an Elder Hospitalized For Decompensated Heart Failure

Romanian Journal of Cardiology
Volume 31 (2021): Issue 3 (September 2021)
By: Alexandra-Ioana Hriban,  Daniela Crisu,  Manuela Ursaru,  Laurentiu Sorodoc and  Catalina Lionte  
Open Access
|May 2022

Figures & Tables

Figure 1

ECG: AF with ventricular rate of 110/min, LBBB, rare premature ventricular beats. B. CXR: cardiomegaly, convex middle arch, bilateral lung hypervascularity, and calcified aortic knob.
ECG: AF with ventricular rate of 110/min, LBBB, rare premature ventricular beats. B. CXR: cardiomegaly, convex middle arch, bilateral lung hypervascularity, and calcified aortic knob.

Figure 2

A. TTE: apical 4 chamber view with posterior tilt shows clearly dilated right heart chambers and CS. B. TTE: left parasternal long-axis view showing a dilated CS (diameter 24 mm), descending thoracic aorta (DA) of 20 mm. C. TOE longitudinal plane (bicaval view) showing a superior SVD with right-to-left shunt evident as contrast study with agitated saline solution moves through the SVD to LA; SVC, superior vena cava; RA, right atrium; LA, left atrium. D. TOE view of sinus venosus ASD: enlarged RA, and color flow showing bi-directional shunt.
A. TTE: apical 4 chamber view with posterior tilt shows clearly dilated right heart chambers and CS. B. TTE: left parasternal long-axis view showing a dilated CS (diameter 24 mm), descending thoracic aorta (DA) of 20 mm. C. TOE longitudinal plane (bicaval view) showing a superior SVD with right-to-left shunt evident as contrast study with agitated saline solution moves through the SVD to LA; SVC, superior vena cava; RA, right atrium; LA, left atrium. D. TOE view of sinus venosus ASD: enlarged RA, and color flow showing bi-directional shunt.

Figure 3

A. Thoracic CT angiography, axial section, mediastinal view shows RSVC and LSVC with a communicating vein of 8 mm (CV) between the sternum and great vessels (green arrows). B. Thoracic CT angiography, axial section, mediastinal view: dilated main, right and left PA, aorta (Ao), LSVC between Ao and LPA, the RSVC in normal position (green arrows). C. Thoracic CT angiography coronal section, mediastinal view: brachiocephalic trunk continues with persistent LSVC (22/18 mm – AP/T) which descends lateral from the aortic arch, LPA, LA and anterior from left inferior pulmonary vein (green arrows), joining the CS which is grossly dilated in calibre and draining into RA. D. Thoracic CT angiography coronal section, mediastinal view: RSVC draining in the RA, partially visible LSVC (green arrows).
A. Thoracic CT angiography, axial section, mediastinal view shows RSVC and LSVC with a communicating vein of 8 mm (CV) between the sternum and great vessels (green arrows). B. Thoracic CT angiography, axial section, mediastinal view: dilated main, right and left PA, aorta (Ao), LSVC between Ao and LPA, the RSVC in normal position (green arrows). C. Thoracic CT angiography coronal section, mediastinal view: brachiocephalic trunk continues with persistent LSVC (22/18 mm – AP/T) which descends lateral from the aortic arch, LPA, LA and anterior from left inferior pulmonary vein (green arrows), joining the CS which is grossly dilated in calibre and draining into RA. D. Thoracic CT angiography coronal section, mediastinal view: RSVC draining in the RA, partially visible LSVC (green arrows).
DOI: https://doi.org/10.47803/rjc.2021.31.3.627 | Journal eISSN: 2734-6382 | Journal ISSN: 1220-658X
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Language: English
Page range: 627 - 632
Published on: May 5, 2022
Published by: Romanian Society of Cardiology
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year
Keywords:
heart failure,
coronary sinus,
persistent left superior vena cava,
sinus venosus defect,
multimodality imaging
Related subjects:
Medicine,
Clinical medicine,
Internal medicine,
Cardiology,
Pediatrics and juvenile medicine,
Paediatric cardiology,
Surgery,
Cardiac surgery

© 2022 Alexandra-Ioana Hriban, Daniela Crisu, Manuela Ursaru, Laurentiu Sorodoc, Catalina Lionte, published by Romanian Society of Cardiology
This work is licensed under the Creative Commons Attribution 4.0 License.

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