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...
Main Authors: | , , , , |
---|---|
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 |
_version_ | 1818260106753605632 |
---|---|
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. |
first_indexed | 2024-12-12T18:26:04Z |
format | Article |
id | doaj.art-4345677ef1f14446a841b145c0441d93 |
institution | Directory Open Access Journal |
issn | 1471-2261 |
language | English |
last_indexed | 2024-12-12T18:26:04Z |
publishDate | 2017-04-01 |
publisher | BMC |
record_format | Article |
series | BMC Cardiovascular Disorders |
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 |