Anomalous Inferior Vena Cava Draining into the Left Atrium Associated with Intact Interatrial Septum and Multiple Pulmonary Arteriovenous Fistulae

Author:

BLACK HARRISON1,SMITH GEORGE T.1,GOODALE WALTER T.1

Affiliation:

1. From the Departments of Surgery, Medicine, and Pathology, Harvard Medical School and Peter Bent Brigham Hospital, Boston, Massachusetts.

Abstract

A 30-year-old woman with cyanotic heart disease due to anomalous drainage of the inferior vena cava into the left atrium in the presence of an intact interatrial septum is reported. The diagnosis was established during life and the defect was successfully corrected by open-heart surgery. The patient failed to survive due to associated multiple pulmonary arteriovenous fistulae. The embryology of the intracardiac defect, the pathophysiology of these fistulae, and the associated advanced pulmonary atherosclerosis are discussed.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Physiology (medical),Cardiology and Cardiovascular Medicine

Reference12 articles.

1. TAUSSIG H. B.: Congenital Malformations of the Heart. Cambridge Harvard University Press 1960 vol. II pp. 951-962.

2. Diseases of the Heart and Circulation, Philadelphia., j;WOOD P.;B. Lippincott Company,1956

3. LONG SURVIVAL WITH INFERIOR VENA CAVA DRAINING INTO LEFT ATRIUM

4. MEADOWS W R. BERGSTRAND I. AND SHARP J. T.: Isolated anomalous connection of a great Circulation. VolIume XXIX February 1964 vein to the left atrium; the syndrome of cyanosis and clubbing "normal" heart and left ventricular hypertrophy on electrocardiogram. Circulation 24: 669 1961.

5. AREY , L. B. : Developmental Anatomy. Ed. 6. Philadelphia, W. B. Saunders Company , 1954 , pp. 382 and 383 .

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