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Aortic valve stenosis causing a left-to-right shunt in persistent left superior vena cava communicating with the left atrium



Aortic valve stenosis causing a left-to-right shunt in persistent left superior vena cava communicating with the left atrium



European Journal of Cardio-Thoracic Surgery 14(3): 326-328



This study demonstrated a rare anomaly of a persistent left superior vena cava draining into the left atrium in a patient with developing left-to-right shunt caused by bicuspid aortic stenosis. The venous system, including the coronary sinus, was otherwise normal. We believe that, in this anatomic situation, a marked increase in left ventricular impedance caused a moderate left-to-right shunt from the left atrium into the left innominate vein. At operation, the aortic valve was replaced with a mechanical prosthesis and the anomalous vein was ligated. The convalescence was uneventful.

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Accession: 045284660

Download citation: RISBibTeXText

PMID: 9761445

DOI: 10.1016/s1010-7940(98)00173-0


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