Affiliation:
1. Tehran University of Medical Sciences Tehran Iran
2. Iran University of Medical Sciences Tehran Iran
Abstract
AbstractIsolated congenital anomalous drainage of the inferior vena cava (IVC) and partial hepatic veins (HV) into the left atrium (LA) via an interatrial communication (IAC), associated with the normal connection of the IVC to the right atrium is exceedingly rare. Therefore, there is a dearth of knowledge regarding the management of these cases. To date, there has been no report of abnormal IVC drainage caused by abnormal IVC‐IAC alignment. Much more frequently, patients have an abnormal connection or abnormal drainage mediated by a persistent Eustachian valve that allows blood to pass from the inferior vena cava to the left atrium. Herein, we report an 8‐year‐old boy with anomalous IVC and hepatic vein drainage into the LA due to IVC‐IAC malalignment. We describe the findings of multimodality imaging, including transthoracic, transesophageal, contrast, and speckle‐tracking echocardiography, cardiac angiography, and cardiac magnetic resonance imaging. We go over the diagnostic and therapeutic pitfalls and caveats of this case that can apply to similar patients.
Subject
Cardiology and Cardiovascular Medicine,Radiology, Nuclear Medicine and imaging