Hatice KAPLANOĞLU, Osman BETON, Baki HEKİOĞLU

Persistan sol süperior vena kava olgu sunumu

Persistan sol süperior vena kava nadir fakat önemli bir vasküler anomalidir. Sol süperior kardinal venin regrese olmayıp innominate vene uzanması ile oluşur. Sıklıkla izole olarak görülür. Fakat atriyal septal defekt, bikuspit aortik kapak, aort koarktasyonu, koroner sinüs anomalileri veya kortriatrium gibi diğer kardiyovasküler anomalilerle ilişkili olabilir. Nefes darlığı ve atipik göğüs ağrısı şikayeti ile bize başvuran, ekokardiyografide sol persistan superior vena kava (PSSVK) olduğu saptanan olguya, ajite salin kontrast ekokardiyografi yapıldı ve PSSVK anomalisi dogrulandı. İlave anomali yönünden ileri tetkik amaçlı koroner bilgisayarlı tomografi (BT) anjiyografi incelemesi yapıldı. PSSVK’ nın sol atriuma açıldığı ve koroner sinüsün patent olduğu izlendi. Olguyu literatür ve radyolojik görüntüler ışığında sunmayı amaçladık.

Anahtar Kelimeler:

persistan süperior vena kava, ekokardiyografi, bilgisayarlı tomografi

Persistent left superior vena cava: case report

Persistent left superior vena cava is a rare but important vascular abnormality. It occurs when the left superior cardinal vein does not regress and reaches innominate vein. It often present as an isolated condition. However, it might be associated to cardiovascular anomalies such as atrial septal defect, bicuspid aortic valve, aortic coarctation, coronary sinus anomalies or cor triatrium. A patient presenting with shortness of breath and atypical chest pain had been diagnosed with left persistent superior vena cava (LPSVC) on echocardiography. Agitated salin contrast echocardiography was performed and the LPSVC confirmed. Coronary CT angiography was performed in order to check for additional anomalies. It was seen that the LPSVC opens to the left atrium and the coronary sinus was patent. We aimed to present this case in the light of literature and radiological images.

Keywords:

persistent superior vena cava, echocardiography, computed tomography,

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