Annals of Clinical Neurophysiology

The Korean Society of Clinical Neurophysiology (대한임상신경생리학회)
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Acute pontine infarction in a patient with persistent left superior vena cava

  • Jeong, Da-Eun (Department of Neurology and Stroke Center, Yeungnam University Medical Center) ;
  • Lee, Jun (Department of Neurology and Stroke Center, Yeungnam University Medical Center) ;
  • Hwang, Woosub (Department of Neruology, Daegu Fatima Hospital)
  • Received : 2018.06.17
  • Accepted : 2018.07.09
  • Published : 2018.07.31
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Abstract

Persistent left superior vena cava (PLSVC) is a common venous anomaly of the thorax and usually drains into the right atrium. Less often it drains into the left atrium and has previously been related to ischemic stroke. We report a case of PLSCV that founded during ischemic stroke evaluation in a 77-year-old woman which was detected on transesophageal echocardiography (TEE) and transcranial Doppler ultrasonography (TCD) with saline agitated test and computed tomography.

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References

  1. Paval J, Nayak S. A persistent left superior vena cava. Singapore Med J 2007;48:e90-e93.
  2. Yousaf M, Malak SF. Left atrial drainage of a persistent left superior vena cava. Radiol Case Rep 2015;3:225.
  3. Goyal SK, Punnam SR, Verma G, Ruberg FL. Persistent left superior vena cava: a case report and review of literature. Cardiovasc Ultrasound 2008;6:50. https://doi.org/10.1186/1476-7120-6-50
  4. Rawal G, Kumar R, Yadav S, Verma D. Persistent left superior vena cava: a rare case with clinical significance. J Clin Diagn Res 2016;10:Od17-Od18.
  5. Hutyra M, Skala T, Sanak D, Novotny J, Kocher M, Taborsky M. Persistent left superior vena cava connected through the left upper pulmonary vein to the left atrium: an unusual pathway for paradoxical embolization and a rare cause of recurrent transient ischaemic attack. Eur J Echocardiogr 2010;11:E35.
  6. Tsang W, Boulos M, Moody AR, Sahlas DJ, Morgan CD. An unusual cause of stroke--the importance of saline contrast echocardiography. Echocardiography 2008;25:908-910. https://doi.org/10.1111/j.1540-8175.2008.00706.x
  7. Gupta SK, Shetkar SS, Ramakrishnan S, Kothari SS. Saline contrast echocardiography in the era of multimodality imaging--importance of "bubbling it right". Echocardiography 2015;32:1707-1719. https://doi.org/10.1111/echo.13035
  8. Thaiyananthan NN, Jacono FJ 3rd, Patel SR, Kern JA, Stoller JK. Right-to-left anatomic shunt associated with a persistent left superior vena cava: the importance of injection site in demonstrating the shunt. Chest 2009;136:617-620. https://doi.org/10.1378/chest.08-2641
  9. Butera G, Salvia J, Carminati M. When side matters: contrast echocardiography with injection from the left antecubital vein to detect a persistent left superior vena cava draining to the left atrium in a patient with cerebral stroke. Circulation 2012;125:e1. https://doi.org/10.1161/CIRCULATIONAHA.110.013318