Key result
Surgical correction involving ligation of the persistent left superior vena cava and redirection of coronary venous flow with a pericardial patch yielded good postoperative hemodynamic results.
Case Report (n=1)
No
Surgical correction using LSVC ligation and a pericardial patch to redirect coronary flow successfully treats the rare developmental complex of LSVC draining into the left atrium, ASD, and absent coronary sinus.
May inform surgical approach in rare LSVC-to-LA drainage with ASD; hypothesis-generating and should not change practice.
The diagnosis of atrial septal defect (ASD), persistent left superior vena cava (LSVC) and absence of coronary sinus was established by cardiac catheterization in a 20 years old female. At surgery the coronary vein ostia were located in the left atrium. LSVC was ligated and pericardial patch was sutured around the orifices of the coronary veins and extended to the ASD to redirect the coronary blood flow into the right atrium and close the defect. The postoperative cardiac catheterization and hemodynamic studies revealed good result.
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Sheikhzadeh et al. (1981) conducted a case report in Persistent left superior vena cava draining into the left atrium, atrial septal defect, and absence of the coronary sinus (n=1). Surgical correction (LSVC ligation and pericardial patch) was evaluated on Postoperative hemodynamic results. Surgical correction involving ligation of the persistent left superior vena cava and redirection of coronary venous flow with a pericardial patch yielded good postoperative hemodynamic results.
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