Summary
This is the first autopsied case reported in the English language literature wherein the right superior vena cava entered both atria with obstruction of the entry into the right atrium, aneurysmal dilatation of the proximal part of the superior vena cava, and entry of the stenosed right upper pulmonary vein into the aneurysmal sac. The aneurysmally dilated right superior vena cava communicated directly with the left atrium. In addition, the remainder of the pulmonary veins, all of which were markedly stenosed, entered the left atrium. The embryogenesis of this unique malformation is briefly discussed.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Arey LB (1942)Developmental anatomy, 4th edn. WB Saunders, Philadelphia, pp 341–350
Braudo M, Beanlands DS, Trusler G (1968) Anomalous drainage of the right superior vena cava into the left atrium.Can Med Assoc J 99:715–719
Breitfellner VG (1963) Zur Frage der “physiologischen” Rechts Bzw., Linksdrainage; Einmündung von Lungenvenen in die obere Hohlvene.Zentralbl Allg Pathol 105:285–289
Davis CL (1927) Development of the human heart from its first appearance to the stage found in embryos of twenty paired somites.Contrib Embryo 107:245–284
Enjalbert A, Calazel P, Eschapasse H, Martinez J, Puel P, Keuchkerian A (1967) Un equivalent du type cave superieur des communications inter-auriculaires: retour veineux pulmonaire anormal droit associe a un gros viasseau unissant la veine cave superieure a l'oreillette gauche.Ann Chir Thorac Cardiovasc 6:785–790
Ezekowitz MD, Alderson PO, Bulkley BH, Dwyer PN, Watkins L, Lappe DL, Greene HL, Becker LC (1978) Isolated drainage of the superior vena cava into the left atrium in a 52 year-old man.Circulation 58:751–756
Hackensellner H (1955) Abnorme Einmündung von Lungenvenen in die Vena Cava Cranialis.Virchows Arch 327:603–606
Kirsch WM, Carlsson E, Hartmann AF Jr (1961) A case of anomalous drainage of the superior vena cava into the left atrium.J Thorac Cardiovasc Surg 41:550–556
Laboux L, Bouhour J, Dupon H, Cornet E (1968) Retours veineux anormaux.Arch Mal Coeur 61:1035–1042
Los JA (1958) De embryonale ontwikkeling van de venae pulmonales en de sinus coronarius bij de mens [The development of the pulmonary veins and the coronary sinus in the human embryo] Thesis Monograph Drukkerij Luctor Et Emergo, Leiden, pp 116–119
Los JA (1968) Embryology [chapter]. In Watson, Hamish (eds)Pediatric cardiology. CV Mosby, St Louis, pp 17–20
Nützel H (1914) Beitrag zur Kenntnis der Missbildungen im Bereiche der oberen Hohlvene.Frankfurter Z Pathol 15:1–19
Park HM, Summerer MH, Preuss K, Armstrong WF, Mahomed Y, Hamilton DJ (1983) Anomalous drainage of the right superior vena cava into the left atrium.J Am Coll Cardiol 2:358–362
Shapiro EP, Al-Sadir J, Campbell NPS, Thilenius OG, Anagnostopoulos CE, Hays P (1981) Drainage of right superior vena cava into both atria.Circulation 63:712–717
Tuchman H, Brown JF, Huston JH, Weinstein AB, Rowe GG, Crumpton CW (1956) Superior vena cava draining into left atrium.Am J Med 21:481–484
Vasquez-Perez J, Frontera-Izquierdo P (1979) Anomalous drainage of the right superior vena cava into the left atrium as an isolated anomaly: rare case report.Am Heart J 97:89–91
Wood P (1962)Diseases of the heart and circulation, 2nd end. JP Lippincott, Philadelphia, p 457
Author information
Authors and Affiliations
Additional information
Aided by grant HL 30558-01 from the National Heart, Lung and Blood Institute of the National Institutes of Health, Bethesda, Maryland.
Rights and permissions
About this article
Cite this article
Bharati, S., Lev, M. Direct entry of the right superior vena cava into the left atrium with aneurysmal dilatation and stenosis at its entry into the right atrium with stenosis of the pulmonary veins: A rare case. Pediatr Cardiol 5, 123–126 (1984). https://doi.org/10.1007/BF02424964
Issue Date:
DOI: https://doi.org/10.1007/BF02424964