Prenatal Diagnosis of Persistent Left Superior Vena Cava and its Clinical Significance

Esmer, Aytül Çorbacıoğlu; Yüksel, Atıl; Çalı, Halime; Özsürmeli, Mehmet; Eker, Rukiye; Kalelioğlu, I.; Has, Recep

doi:10.5152/balkanmedj.2014.9426

Cited by 14 publications

(12 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…There is a high prevalence of ventricular septal defect, atrial septal defect, endocardial cushion defect, cortriatriatum and tetralogy of Fallot in patients with PLSVC and agenesis of the right SVC ( 15 ) . Additionally, in patients with pulmonary valve stenosis, where the incidence of PLSVC was the lowest, it was 7.0 times higher than that of the normal population ( 8 ) . It is noteworthy that the majority of extracardiac anomalies occurred in association with cardiac anomalies in some studies ( 13 ) .…”

Section: Discussionmentioning

confidence: 85%

“…Since in most cases PLSVC drains into the right atrium via the coronary sinus (CS), even in 93% ( 7 ) , dilation of CS is usually the first sign detected during fetal echocardiography, but it can also indicate anomalous pulmonary venous drainage ( 3 , 8 ) . In the case of agenesis of the right SVC, CS may be markedly dilated as it receives the whole venous drainage from the upper body ( 9 ) .…”

Section: Discussionmentioning

confidence: 99%

“…In the case of agenesis of the right SVC, CS may be markedly dilated as it receives the whole venous drainage from the upper body ( 9 ) . Moreover, dilated CS might be misdiagnosed as an ostium primum atrial septal defect or as mitral atresia ( 8 , 10 ) . The diagnosis must be confirmed in the three-vessel trachea view (3VT) showing the supernumerary vessel to the left of the pulmonary trunk and arterial duct ( 1 ) .…”

Section: Discussionmentioning

confidence: 99%

“…PLSVC is associated with cardiac defects in more than 80% of cases ( 8 ) . Increased risk of coarctation of aorta (CoA) was noticed in up to 21% of fetuses with PLSVC ( 3 ) .…”

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Gradual diagnosis and clinical importance of prenatally detected persistent left superior vena cava with absent right superior vena cava – a case report and literature review

Sylwestrzak

Respondek-Liberska

2020

J Ultrason

View full text Add to dashboard Cite

Persistent left superior vena cava is a malformation of cardinal veins. We report a case of a secundigravida who had many fetal ultrasound examinations – first performed by an obstetrician (who described fetal mediastinum as “abnormal”), second by other obstetrician, who performed basic fetal echocardiographic examination and diagnosed persistent left superior vena cava. The woman was referred to a tertiary center for detailed fetal echocardiography. The diagnosis of persistent left superior vena cava with agenesis of the right superior vena cava was confirmed. The anomaly had no influence on fetal hemodynamic stability, fetal life, delivery and early postnatal period. After delivery, the neonate was under observation for further anomalies, aortic coarctation in particular. Prenatal and postnatal management was summarized. Literature review is presented.

show abstract

Section: Discussionmentioning

confidence: 85%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…PLSVC is associated with cardiac defects in more than 80% of cases ( 8 ) . Increased risk of coarctation of aorta (CoA) was noticed in up to 21% of fetuses with PLSVC ( 3 ) .…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Gradual diagnosis and clinical importance of prenatally detected persistent left superior vena cava with absent right superior vena cava – a case report and literature review

Sylwestrzak

Respondek-Liberska

2020

J Ultrason

View full text Add to dashboard Cite

show abstract

“…Moreover, in only 5-9% of cases, PLSVC was seen as an isolated finding. Isolated PLSVC was diagnosed more frequently in newer series (12,13) . In our series, 41% (13/32) of the cases were not associated with additional cardiac malformation and the rate of isolated PLSVC was found as 25% (8/32), which was consistent with the recent studies.…”

Section: Discussionmentioning

confidence: 94%

Prenatal diagnosis of persistent left superior vena cava: a retrospective study of associated congenital anomalies

Özsürmeli¹,

Büyükkurt²,

Sucu³

et al. 2019

tjod

View full text Add to dashboard Cite

Objective: To evaluate persistent left superior vena cava (PLSVC) cases according to associated cardiac, extracardiac, and chromosomal anomalies in the prenatal period and to review their outcomes. Materials and Methods: The data of patients with a prenatal diagnosis of PLSVC between January 2013 and December 2017 were reviewed retrospectively. Results: Data of 32 cases were reviewed. Nineteen (60%) cases were associated with cardiac defects, 5 (15%) were associated with both cardiac and extracardiac defects, and 8 (25%) had no associated anomalies. Two fetuses had karyotype anomalies. All patients with isolated PLSVC survived. Among the cases associated with extracardiac anomalies, cardiac anomalies, and with both extracardiac and cardiac anomalies, the survival rate was 40%, 40%, and 25%, respectively. Outcome was more favorable in cases with isolated PLSVC (100% vs. 40%). Conclusion: Prenatally diagnosed PLSVC is associated with cardiac and extracardiac anomalies in the majority of cases. The prognosis is good in isolated cases, but worsens when accompanied by cardiac or extracardiac anomalies.

show abstract

Clinical characteristics of prenatally diagnosed persistent left superior vena cava in low‐risk pregnancies

2016

View full text Add to dashboard Cite

ObjectiveTo determine the incidence and clinical characteristics of persistent left superior vena cava (PLSVC) among low‐risk pregnancies. We have also compared electrocardiography (ECG) parameters of infants with PLSVC with those of normal controls.MethodAt our institute, fetal echocardiogram is routinely performed in the midtrimester. We retrospectively reviewed the records of prenatally diagnosed PLSVC cases from 2010 to 2014. The ECG findings in infants with isolated PLSVC were compared with those of age‐matched controls.ResultsSixty‐five cases of fetal PLSVC were detected during the study period. It represents 0.36% (65/18 188) of all fetal echocardiographic examinations during the study period. Twenty cases (30.8%) had other cardiac anomalies, seven cases (10.8%) were associated with extracardiac anomalies, and four cases (6.2%) had both cardiac and extracardiac anomalies, whereas in 34 cases (52.3%), the anomaly was isolated. There were no significant differences in ECG parameters between neonates with PLSVC and normal controls.ConclusionDetection of PLSVC should prompt careful search for associated anomalies. Isolated PLSVC is a benign vascular anomaly and the outcomes are excellent. © 2016 The Authors. Prenatal Diagnosis published by John Wiley & Sons, Ltd.

show abstract

Prenatal Diagnosis of Persistent Left Superior Vena Cava and its Clinical Significance

Cited by 14 publications

References 11 publications

Gradual diagnosis and clinical importance of prenatally detected persistent left superior vena cava with absent right superior vena cava – a case report and literature review

Gradual diagnosis and clinical importance of prenatally detected persistent left superior vena cava with absent right superior vena cava – a case report and literature review

Prenatal diagnosis of persistent left superior vena cava: a retrospective study of associated congenital anomalies

Clinical characteristics of prenatally diagnosed persistent left superior vena cava in low‐risk pregnancies

Contact Info

Product

Resources

About