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Acute pontine infarction in a patient with persistent left superior vena cava

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초록

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.

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.

참고문헌 (9)

  1. Paval J, "A persistent left superior vena cava", Singapore Med J, 48, pp.e90~e93 (2007)
  2. Yousaf M, "Left atrial drainage of a persistent left superior vena cava", Radiol Case Rep, 3, pp.225~ (2015)
  3. Goyal SK, "Persistent left superior vena cava: a case report and review of literature", Cardiovasc Ultrasound, 6, pp.50~ (2008)[DOI]
  4. Rawal G, "Persistent left superior vena cava: a rare case with clinical significance", J Clin Diagn Res, 10, pp.Od17~Od18 (2016)
  5. Hutyra 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, 11, pp.E35~ (2010)
  6. Tsang W, "An unusual cause of stroke--the importance of saline contrast echocardiography", Echocardiography, 25, pp.908~910 (2008)[DOI]
  7. Gupta SK, "Saline contrast echocardiography in the era of multimodality imaging--importance of "bubbling it right"", Echocardiography, 32, pp.1707~1719 (2015)[DOI]
  8. Thaiyananthan NN, "Right-to-left anatomic shunt associated with a persistent left superior vena cava: the importance of injection site in demonstrating the shunt", Chest, 136, pp.617~620 (2009)[DOI]
  9. Butera G, "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, 125, pp.e1~ (2012)[DOI]

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