Hostname: page-component-76fb5796d-5g6vh Total loading time: 0 Render date: 2024-04-30T05:33:58.625Z Has data issue: false hasContentIssue false

A rare case of a systemic-to-pulmonary veno-venous connection: a pause during development of pulmonary and systemic venous separation

Published online by Cambridge University Press:  06 February 2017

Jae Gun Kwak*
Affiliation:
Department of Thoracic and Cardiovascular Surgery, Seoul National University Children’s Hospital, Seoul, Republic of Korea
Kyung-Hee Kim
Affiliation:
Department of Internal Medicine, Sejong General Hospital, Bucheon, Republic of Korea
Chang-Ha Lee
Affiliation:
Department of Thoracic and Cardiovascular Surgery, Sejong General Hospital, Bucheon, Republic of Korea
*
Correspondence to: J. G. Kwak, MD, PhD, Seoul National University Children’s Hospital, 101, Daehak-Ro, Jongno-Gu, Seoul 03080, Republic of Korea. Tel: +82 10 3221 5107; Fax: +82 2 764 3664; E-mail: switch.surgeon@gmail.com

Abstract

A 45-year-old man with dyspnoea and palpitations exhibited a unique systemic-to-pulmonary veno-venous connection on preoperative CT images. A window of 31.5-mm diameter was evident between the superior caval vein and the middle pulmonary vein, which was normally connected to the left atrium via a 30-mm-diameter orifice. The atrial septum was intact.

Type
Brief Report
Copyright
© Cambridge University Press 2017 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Butts, RJ, Crean, AM, Hlavacek, AM, et al. Veno-venous bridges: the forerunners of the sinus venosus defect. Cardiol Young 2011; 21: 623630.Google Scholar
2. Devine, WA, Anderson, RH. Superior caval to pulmonary venous fistula – the progenitor of the sinus venosus defect. Pediatr Pathol 1989; 9: 345349.Google Scholar
3. Sizarov, A, Anderson, RH, Christoffels, VM, Moorman, AF. Three-dimensional and molecular analysis of the venous pole of the developing human heart. Circulation 2010; 122: 798907.Google Scholar
4. Crystal, MA, Najashi, KA, Williams, WG, Redington, AN, Anderson, RH. Inferior sinus venous defect: echocardiographic diagnosis and surgical approach. J Thorac Cardiovasc Surg 2009; 137: 13491355.Google Scholar