Hostname: page-component-78c5997874-v9fdk Total loading time: 0 Render date: 2024-11-05T16:10:12.440Z Has data issue: false hasContentIssue false

Hypoplastic left heart with intact atrial septum and levoatriocardinal vein: a challenge in identifying aortic arch branches

Published online by Cambridge University Press:  17 January 2014

Govinda Paudel*
Affiliation:
Department of Pediatrics, Division of Pediatric Cardiology, University of Iowa Hospitals and Clinics, University of Iowa, Iowa, United States of America
Benton Y. Ng
Affiliation:
Department of Pediatrics, Division of Pediatric Cardiology, University of Iowa Hospitals and Clinics, University of Iowa, Iowa, United States of America
Ian H. Law
Affiliation:
Department of Pediatrics, Division of Pediatric Cardiology, University of Iowa Hospitals and Clinics, University of Iowa, Iowa, United States of America
*
Correspondence: Dr G. Paudel, Department of Pediatrics, Division of Pediatric Cardiology, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, Iowa City, Iowa 52242, United States of America. Tel: +00 1 319 356 4995; Fax: +00 1 319 356 4693; E-mail: [email protected]

Abstract

The levoatriocardinal vein provides alternative egress from the left atrium to the systemic veins in left-sided obstructive lesions. Although rare, it has been described in association with hypoplastic left heart syndrome. We report a case of hypoplastic left heart syndrome with levoatriocardinal vein and aberrant right subclavian artery where cardiac magnetic resonance imaging/angiography proved to be a valuable imaging modality for pre-operative evaluation.

Type
Brief Reports
Copyright
© Cambridge University Press 2014 

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. Morris, CD, Outcalt, J, Menashe, VD. Hypoplastic left heart syndrome: natural history in a geographically defined population. Pediatrics 1990; 85: 977983.Google Scholar
2. Bernstein, HS, Moore, P, Stanger, P, Silverman, NH. The levoatriocardinal vein: morphology and echocardiographic identification of the pulmonary-systemic connection. J Am Coll Cardiol 1995; 26: 9951001.CrossRefGoogle ScholarPubMed
3. Edwards, JE, Dushane, JW, Alcott, DL, Burchell, HB. Thoracic venous anomalies. AMA Arch Pathol 1951; 51: 446460.Google Scholar
4. Rychik, J, Rome, JJ, Collins, MH, DeCampli, WM, Spray, TL. The HLHS with intact atrial septum: atrial morphology, pulmonary vascular histopathology and outcome. J Am Coll Cardiol 1999; 34: 554560.Google Scholar
5. Ramaswamy, P, Lytrivi, ID, Thanjan, MT, et al. Frequency of aberrant subclavian artery, arch laterality, and associated intracardiac anomalies detected by echocardiography. Am J Cardiol 2008; 101: 677682.Google Scholar
6. Bensky, AS, O’Brien, JJ, Hammon, JW. Transesophageal echo probe compression of an aberrant right subclavian artery. J Am Soc Echocardiogr 1995; 8: 964966.Google Scholar