Isolated partial anomalous pulmonary venous connection: diagnostic value of suprasternal color flow imaging and contrast echocardiography

Alahmari, Saeed; Chandrasekaran, Krishnaswamy; Brilakas, Emmanuel; Tahlil, Warsame; Dearani, Joseph A.; Malouf, Joseph F.; Gilman, Gregory; Seward, James B.; Tajik, A. Jamil

doi:10.1067/s0894-7317(03)00332-8

Cited by 16 publications

(10 citation statements)

References 15 publications

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“…In rare cases of coronary sinus obstruction, the LSVC will drain the coronary sinus to the left innominate vein and the flow will be directed superiorly. 8 Opacification of LSVC and the dilated coronary sinus with agitated saline injected into the left arm vein will confirm the diagnosis of LSVC.…”

Section: Left Superior Vena Cavamentioning

confidence: 96%

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Echocardiography of the superior vena cava

2005

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SummaryThe anatomy and applied echocardiographic anatomy of the superior vena cava (SVC) are briefly described. Right supraclavicular interrogation of the SVC has been in use for many years, but supraclavicular two-dimensional (2-D) imaging of the SVC has been virtually ignored. We have recently shown that supraclavicular 2-D imaging can provide excellent views of the SVC and its main tributaries. Transthoracic echocardiography (TEE) is suitable for imaging of the lower (juxtaatrial) SVC. Persistence of a left SVC is an uncommon variant, diagnosed echocardiographically by coronary sinus dilatation and passage of contrast into it from a left arm vein. Extensive SVC compression by mediastinal masses is well known, but recently intravascular SVC obstruction has been increasingly reported as a complication of radiofrequency ablation for ectopic atrial tachycardia, for thrombosis of the SVC or its main tributaries following indwelling catheters, or following insertion of pacemaker leads. Doppler interrogation or TEE imaging of the SVC have been used in recent years to elucidate such pathology.

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Section: Left Superior Vena Cavamentioning

confidence: 96%

“…Contrast echocardiography with contrast agents, by opacification of the vertical vein, can differentiate PAPVC from a persistent LSVC. 8 …”

Section: Left Superior Vena Cavamentioning

confidence: 99%

Echocardiography of the superior vena cava

2005

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“…The chest X‐ray may provide the first clue to scimitar syndrome, but the initial diagnosis is usually made by echocardiography and confirmed by other imaging modalities like MRI or CT. The diagnosis can also be made at cardiac catheterization, by pulmonary arterial angiography or retrograde contrast injection of the anomalous vein.…”

Section: Discussionmentioning

confidence: 99%

Multimodality imaging of scimitar syndrome in adults: A report of four cases

et al. 2018

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Partial anomalous pulmonary venous return (PAPVR) comprises a group of congenital cardiovascular anomalies associated with pulmonary venous flow directly or indirectly into the right atrium. Scimitar syndrome is a variant of PAPVR in which the right lung is drained by right pulmonary veins connected anomalously to the inferior vena cava. Surgery is the definitive treatment for scimitar syndrome. However, it is not always necessary as many patients are asymptomatic, have small left-to-right shunts, and enjoy a normal life expectancy without surgery. We report multimodality imaging in four adults with scimitar syndrome and the implications for management of this rare syndrome.

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“…The most common associated anomaly is an ASD [2,4]. The reported incidence of sinus venosus ASD in patients with PAPVC ranges from 49% to 85%, and that of secundum ASD ranges from 10% to 33% [2,4-6]. Though rare, cases of PAPVC associated with valvular heart disease have been reported [7].…”

Section: Discussionmentioning

confidence: 99%

Multiple anomalous left pulmonary venous connections detected with transthoracic echocardiography

Wang¹,

Hung²,

Lin

et al. 2013

J Cardiothorac Surg

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Partial anomalous pulmonary venous connection is a rare congenital anomaly in which one or more pulmonary veins are connected to the venous circulation. The condition is frequently misdiagnosed, and usually identified by transesophageal echocardiography or invasive cardiac catheterization. We present the case of a 26-year-old female with new onset dyspnea on exertion who was diagnosed with the left superior and inferior pulmonary veins draining into the innominate vein via a vertical vein by two and three-dimensional transthoracic echocardiography and multidetector computed tomographic angiography.

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Isolated partial anomalous pulmonary venous connection: diagnostic value of suprasternal color flow imaging and contrast echocardiography

Cited by 16 publications

References 15 publications

Echocardiography of the superior vena cava

Echocardiography of the superior vena cava

Multimodality imaging of scimitar syndrome in adults: A report of four cases

Multiple anomalous left pulmonary venous connections detected with transthoracic echocardiography

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