Mitral valve plasty in an adult patient without a right superior vena cava.

Gen Thorac Cardiovasc Surg

Department of Cardiovascular Surgery, Tokyo Women's Medical University, Medical Center East, Nishiogu 2-1-10, Arakawa-Ku, Tokyo 116-8567, Japan.

Published: September 2012

AI Article Synopsis

  • Persistent left superior vena cava (PLSVC) is a rare vascular condition, exemplified by a case involving a 65-year-old woman who had this anomaly without a right superior vena cava.
  • The patient underwent mitral valve plasty, during which cardiopulmonary bypass was achieved using a unique approach that included bicaval drainage through the PLSVC.
  • A specialized L-shaped cannula was inserted into the PLSVC to enhance visibility during the surgery, emphasizing the importance of evaluating the right superior vena cava when PLSVC is present.

Article Abstract

Persistent left superior vena cava without a right superior vena cava is an extremely rare condition. We report the case of a 65-year-old woman with this condition who underwent mitral valve plasty. During cardiac catheterization, the asymptomatic patient with mitral valve prolapse syndrome was found to have a persistent left superior vena cava without a right superior vena cava. During mitral valve plasty, cardiopulmonary bypass was established using bicaval drainage through the persistent left superior vena cava and the right atrium. A cannula was inserted into the persistent left superior vena cava to provide a large surgical field in the left atrium. We selected a technique that involved direct insertion of an L-shaped cannula into the persistent left superior vena cava and obtained a clear view of the surgical field. Proper assessment of the right superior vena cava is necessary when a persistent left superior vena cava is suspected.

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Source
http://dx.doi.org/10.1007/s11748-012-0001-yDOI Listing

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