Anomalous Coronary Sinus and Persistent Left Superior Vena Cava Drainage Into the Left Atrium: A Multimodality Imaging Case

IF 1.8 4区医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Echocardiography-A Journal of Cardiovascular Ultrasound and Allied Techniques Pub Date : 2026-10-25 DOI:10.1111/echo.70658

Cemre Turgul, Osman Safa Bulut, Cem Korucu, Rıdvan Yurt, Cuma Suleymanoglu, Ozge Ozden Kayhan, Ibrahim Altun

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Abstract

A 26-year-old woman presented with palpitations and exertional dyspnea. Echocardiography suggested an inferior sinus venosus atrial septal defect, while cardiac CT angiography revealed a 26 × 32 mm defect with inferior vena cava overriding, a persistent left superior vena cava draining into the left atrium, and a coronary sinus with an intact roof draining independently into the left atrium. Surgical correction involved patch closure of the atrial septal defect and redirection of both venous structures to the right atrium. Postoperative imaging demonstrated no residual interatrial shunt and confirmed patency of the redirected persistent left superior vena cava. This case highlights the essential role of multimodality imaging in defining complex congenital venous anatomy and guiding surgical management

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冠状窦异常和持续左上腔静脉引流至左心房：一个多模态影像病例

一名26岁女性，表现为心悸和用力性呼吸困难。超声心动图提示下窦静脉房间隔缺损，心脏CT血管造影示26 × 32 mm缺损，下腔静脉覆盖，持续性左上腔静脉引流至左心房，冠状窦顶完整独立引流至左心房。手术矫正包括修补房间隔缺损并将两个静脉结构重定向到右心房。术后影像学显示无残留的房间分流，确认左上腔静脉通畅。本病例强调了多模态成像在确定复杂的先天性静脉解剖和指导手术治疗中的重要作用。

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来源期刊

Echocardiography-A Journal of Cardiovascular Ultrasound and Allied Techniques 医学-心血管系统

CiteScore

2.40

自引率

6.70%

发文量

211

审稿时长

3-6 weeks

期刊介绍： Echocardiography: A Journal of Cardiovascular Ultrasound and Allied Techniques is the official publication of the International Society of Cardiovascular Ultrasound. Widely recognized for its comprehensive peer-reviewed articles, case studies, original research, and reviews by international authors. Echocardiography keeps its readership of echocardiographers, ultrasound specialists, and cardiologists well informed of the latest developments in the field.