Anomalous connection of superior vena cava to the left atrium masquerading as epilepsy: A case report with review of literature

Isolated right superior vena cava drainage into the left atrium (RSVC-LA) is an extremely rare anomaly in the absence of other cardiac or extracardiac abnormalities. The clinical and echocardiographic diagnosis is considered challenging. We report a female infant with cyanosis on crying who was diagnosed as isolated RSVC-LA using conventional and contrast echocardiography, but further confirmation was possible via multidetector CT. The surgical correction was performed with smooth postoperative recovery. In conclusion, isolated RSVC-LA must be in the differential diagnosis of cyanosis in the absence of intracardiac anomalies. Surgical correction is necessary management to guard against brain abscesses or paradoxical embolization.

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Isolated right superior vena cava drainage into the left atrium: An uncommon cause of persistent hypoxia in a neonate

Gulati

Smith

Siow

et al. 2020

Echocardiography

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This report describes the case of a 13-day-old African American female with persistent hypoxia found to have an isolated right superior vena cava (RSVC) draining into the left atrium (LA) confirmed with contrast echocardiography. K E Y W O R D S hypoxia, left atrium, neonate, right superior vena cava How to cite this article: Gulati R, Smith T, Siow M, Batten L. Isolated right superior vena cava drainage into the left atrium: An uncommon cause of persistent hypoxia in a neonate.

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Anomalous connection of superior vena cava to the left atrium masquerading as epilepsy: A case report with review of literature

Abstract: An 11-year-old girl who presented with recurrent epileptic fits was eventually found to have a superior vena cava draining into the left atrium. There was no atrial septal defect. The patient underwent a successful surgical correction.

Cited by 6 publications

References 1 publication

Cerebral abscess due to an abnormal drainage of the superior vena cava

Cerebral abscess due to an abnormal drainage of the superior vena cava

Isolated drainage of right superior vena cava into left atrium: A rare etiology of childhood central cyanosis

Isolated right superior vena cava drainage into the left atrium: An uncommon cause of persistent hypoxia in a neonate

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