Hemiazygos Continuation of Left Inferior Vena Cava Draining into the Right Atrium via Persistent Left Superior Vena Cava: A Variant of Polysplenia Syndrome Mimicking Aortic Dissection.
10.4070/kcj.1998.28.3.440
- Author:
Il Seok CHEON
;
You Pan RHEE
;
Bong Ryong CHOI
;
Sang Soo LEE
;
Woon Tae JUNG
;
Jong Duk LEE
;
Dong Ju CHOI
;
Jin Yong HWANG
;
Bong Gown SEO
;
Jin Jong YOU
- Publication Type:Case Report
- Keywords:
Persistent left superior vena cava;
Polysplenia syndrome
- MeSH:
Aorta, Thoracic;
Atrial Fibrillation;
Coronary Sinus;
Dyspnea;
Echocardiography, Transesophageal;
Heart Atria*;
Heterotaxy Syndrome*;
Humans;
Male;
Middle Aged;
Phlebography;
Spleen;
Thorax;
Tomography, Spiral Computed;
Veins;
Vena Cava, Inferior*;
Vena Cava, Superior*
- From:Korean Circulation Journal
1998;28(3):440-447
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We report a case of a 58 year-old male with polysplenia and left inferior vena cava draining into the right atrium via hemiazygous vein; the left superior vena cava and the coronary sinus in order. He presented dyspnea on exertion and atrial fibrillation. Originally, through findings of mediastinal widening in chest X-ray and the double lumen of the descending aorta in transesophageal echocardiography, he was erroneously diagnosed with aortic dissection. The anomalous venous connection was discovered via spiral CT and venography. We also found three to five small spleens via CT. We emphasize that normal left superior vena cava mimic aortic dissection on chest X-rays and transesophageal echocardiographys.
