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October 1, 2021European Heart Journal - Case ReportsOpen Access

A rare double venous abnormality involving both a left superior vena cava and an abnormal inferior vena cava draining directly into the coronary sinus caused its massive dilatation.

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Population

An 83-year-old woman with heart failure symptoms, AF with rapid ventricular rate, and a dilated CS

Design

Case report

Key result

A rare double venous abnormality involving both a left superior vena cava and an abnormal inferior vena cava draining directly into the coronary sinus caused its massive dilatation.

Authors

TCThomas CardiMOMickaël OhanaHMHalim Marzak

Discussion

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Overview

Rare venous anomalies may complicate EP procedures; leaves open optimal pre-procedural imaging strategies.

Study Design

Type

Case Report (n=1)

Structured PICO

P
Population
An 83-year-old woman presenting with heart failure symptoms, atrial fibrillation, and a dilated coronary sinus due to a double venous abnormality.
I
Intervention
Single-lead pacemaker implantation and aborted AV node ablation

This case highlights a rare double venous anomaly (LSVC and IVC draining into the coronary sinus) that can complicate electrophysiological procedures like AV node ablation.

Cite This Study

Cardi et al. (2021) conducted a case report in Dilated coronary sinus, heart failure, atrial fibrillation (n=1). Single-lead pacemaker implantation and aborted AV node ablation was evaluated. A rare double venous abnormality involving both a left superior vena cava and an abnormal inferior vena cava draining directly into the coronary sinus caused its massive dilatation.

synapsesocial.com/papers/6aa2ddc6c737c5af5713af73https://doi.org/10.1093/ehjcr/ytab388
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