Persistent Left Superior Vena Cava (PLSVC) should be suspected if we find dilatation of coronary sinus. Sophisticated imaging is not always available in each health care provider. Transthoracic echocardiography (TTE) with agitated saline injections through the left and right antecubital veins provides a simple, and inexpensive, but effective study for a rapid bedside diagnosis of PSLVC.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5412825PMC
http://dx.doi.org/10.1002/ccr3.883DOI Listing

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