Persistent left superior vena cava

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Persistent left superior vena cava
The (right) superior vena cava (on left) and the left brachiocephalic vein (here labeled as left innominate vein). The left superior vena cava is not shown in this image.

In

venous system.[1][2] It is present in between 0.3% and 0.5% of the population,[3][4][5] and is an embryologic remnant that results from a failure to involute
.

Presentation

In persistent left superior vena cava, the left

In isolation, the variation is considered benign, but is very frequently associated with cardiac abnormalities (e.g.

morbidity.[4][6] It is more frequent in patients with congenital heart defects.[7]

The (right) superior vena cava is almost always unaffected by the presence of persistent left superior vena cava.[4][5]

Diagnosis

If an anomaly is detected during a routine ultrasound, a fetal echocardiogram is performed to determine whether a fetus has the condition.[8] Otherwise, it is often unnoticed unless an extenuating circumstance warrants further examination of the heart, usually much later in life.[citation needed]

parasagittal section may show a "pipe" sign where the left superior vena cava occurs.[4]

Treatment

If no other cardiac abnormalities are present, persistent left superior vena cava will not be treated, as it is usually

deoxygenated blood enters the circulation to the body, and cyanosis may occur.[8]

References

External links