Volume 25, Issue 1 pp. 42-45

Unexpected Persistent Left Superior Vena Cava and Absent Right Superior Vena Cava in Situs Solitus Patient

Edward Gologorsky M.D.

Edward Gologorsky M.D.

Department of Anesthesiology, University of Miami Miller School of Medicine and Jackson Memorial Hospital, Miami, Florida

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Francisco Igor B. Macedo M.D.

Francisco Igor B. Macedo M.D.

Division of Cardiothoracic Surgery

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Enisa M. Carvalho M.D.

Enisa M. Carvalho M.D.

Division of Cardiothoracic Surgery

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Radhika Govindaswamy M.D.

Radhika Govindaswamy M.D.

Department of Anesthesiology, University of Miami Miller School of Medicine and Jackson Memorial Hospital, Miami, Florida

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Tomas A. Salerno M.D.

Tomas A. Salerno M.D.

Division of Cardiothoracic Surgery

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First published: 27 December 2009
Citations: 4
Address for correspondence: Edward Gologorsky, M.D., Jackson Memorial Hospital, 1611 N. W. 12th Avenue, Miami, FL 33139. Fax: 305-585-7189; e-mail: [email protected]

Abstract

Abstract We, herein, report a patient with persistent left superior vena cava with enlarged coronary sinus and absent right superior vena cava. This anomaly, diagnosed intraoperatively during the third open-heart surgery in the course of transesophageal echocardiography examination, was not mentioned during the patient's previous two cardiac operations. Challenges in intraoperative management and implications for subsequent treatments are discussed. (J Card Surg 2010;25:42-45)

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