Cardiology Research, cilt.2, sa.5, ss.249-252, 2011 (Scopus)
Persistent left superior vena cava (PLSVC) is a congenital anomaly
of the thoracic venous system resulting from the abnormal persistence of an embryological vessel that normally regresses during early fetal life. This anomaly is often discovered incidentally
during surgery, cardiovascular imaging or invasive cardiovascular
procedures. In most cases, a PLSVC drains into the right atrium
through the coronary sinus. In the remainder of cases, it enters directly or through the pulmonary veins into the left atrium. A dilated
coronary sinus on echocardiography should always raise the suspicion of a PLSVC as it has important clinical implications. The
diagnosis should be confi rmed by saline contrast echocardiography.
We report a patient with persistent left superior vena cava with an
enlarged coronary sinus and normal right superior vena cava.
Keywords: Vena cava superior; Echocardiography; Coronary sinus