Coronary sinus aneurysm associated with multiple venous anomalies

Abstract Background Congenital anomalies of the venous system are rare, involve the inferior vena cava (IVC), a persistent left superior vena cava (PLSVC), and the left hepatic vein (LHV), and can make cardiac diagnostic and therapeutic procedures difficult. Case presentation We present a 67-year-ol...

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Main Authors: Guang Song, Ming Du, Weidong Ren, Ke Zhou, Lu Sun
Format: Article
Language:English
Published: BMC 2017-04-01
Series:BMC Cardiovascular Disorders
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12872-017-0532-3
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author Guang Song
Ming Du
Weidong Ren
Ke Zhou
Lu Sun
author_facet Guang Song
Ming Du
Weidong Ren
Ke Zhou
Lu Sun
author_sort Guang Song
collection DOAJ
description Abstract Background Congenital anomalies of the venous system are rare, involve the inferior vena cava (IVC), a persistent left superior vena cava (PLSVC), and the left hepatic vein (LHV), and can make cardiac diagnostic and therapeutic procedures difficult. Case presentation We present a 67-year-old woman without heterotaxy syndrome associated with interruption of the left IVC that continued with the hemiazygos vein system, a PLSVC, and an anomalous LHV draining the into coronary sinus (CS). The venous anomalies caused a CS aneurysm. The anomalies were demonstrated by echocardiography and the diagnosis was established by contrast-enhanced computed tomography. Three days later, a coronary artery bypass graft was performed, which confirmed the diagnosis. Half a month after surgery, the pain had been relieved and the patient was discharged from the hospital. Conclusion Echocardiography is a useful modality to diagnose and assess anomalies of the CS, including CS aneurysms. Congenital anomalies of the venous system in this case were all due to embryonic development abnormalities. Contrast-enhanced computed tomography provides a more comprehensive view of the entire course of abnormal veins.
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spelling doaj.art-4345677ef1f14446a841b145c0441d932022-12-22T00:16:01ZengBMCBMC Cardiovascular Disorders1471-22612017-04-011711510.1186/s12872-017-0532-3Coronary sinus aneurysm associated with multiple venous anomaliesGuang Song0Ming Du1Weidong Ren2Ke Zhou3Lu Sun4Department of Ultrasound, Shengjing Hospital of China Medical UniversityDepartment of Radiology, Shengjing Hospital of China Medical UniversityDepartment of Ultrasound, Shengjing Hospital of China Medical UniversityDepartment of Cardiac Surgery, Shengjing Hospital of China Medical UniversityDepartment of Ultrasound, Shengjing Hospital of China Medical UniversityAbstract Background Congenital anomalies of the venous system are rare, involve the inferior vena cava (IVC), a persistent left superior vena cava (PLSVC), and the left hepatic vein (LHV), and can make cardiac diagnostic and therapeutic procedures difficult. Case presentation We present a 67-year-old woman without heterotaxy syndrome associated with interruption of the left IVC that continued with the hemiazygos vein system, a PLSVC, and an anomalous LHV draining the into coronary sinus (CS). The venous anomalies caused a CS aneurysm. The anomalies were demonstrated by echocardiography and the diagnosis was established by contrast-enhanced computed tomography. Three days later, a coronary artery bypass graft was performed, which confirmed the diagnosis. Half a month after surgery, the pain had been relieved and the patient was discharged from the hospital. Conclusion Echocardiography is a useful modality to diagnose and assess anomalies of the CS, including CS aneurysms. Congenital anomalies of the venous system in this case were all due to embryonic development abnormalities. Contrast-enhanced computed tomography provides a more comprehensive view of the entire course of abnormal veins.http://link.springer.com/article/10.1186/s12872-017-0532-3InterruptionLeft inferior vena cavaPersistent left superior vena cavaHepatic veinHemiazygos veinCoronary sinus
spellingShingle Guang Song
Ming Du
Weidong Ren
Ke Zhou
Lu Sun
Coronary sinus aneurysm associated with multiple venous anomalies
BMC Cardiovascular Disorders
Interruption
Left inferior vena cava
Persistent left superior vena cava
Hepatic vein
Hemiazygos vein
Coronary sinus
title Coronary sinus aneurysm associated with multiple venous anomalies
title_full Coronary sinus aneurysm associated with multiple venous anomalies
title_fullStr Coronary sinus aneurysm associated with multiple venous anomalies
title_full_unstemmed Coronary sinus aneurysm associated with multiple venous anomalies
title_short Coronary sinus aneurysm associated with multiple venous anomalies
title_sort coronary sinus aneurysm associated with multiple venous anomalies
topic Interruption
Left inferior vena cava
Persistent left superior vena cava
Hepatic vein
Hemiazygos vein
Coronary sinus
url http://link.springer.com/article/10.1186/s12872-017-0532-3
work_keys_str_mv AT guangsong coronarysinusaneurysmassociatedwithmultiplevenousanomalies
AT mingdu coronarysinusaneurysmassociatedwithmultiplevenousanomalies
AT weidongren coronarysinusaneurysmassociatedwithmultiplevenousanomalies
AT kezhou coronarysinusaneurysmassociatedwithmultiplevenousanomalies
AT lusun coronarysinusaneurysmassociatedwithmultiplevenousanomalies