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J Thorac Cardiovasc Surg 2007;133:1368-1369
© 2007 The American Association for Thoracic Surgery

Brief Communication

Unusual systemic venous return with absence of superior caval veins

Phalla Ou, MDa,*, Giulio Calcagni, MDb, Davide Marini, MDb, Jerome Le Bidois, MDb, Pietro Gallo, MDc, Francis Brunelle, MD, PhDa, Damien Bonnet, MD, PhDb

a Department of Pediatric Radiology, University Rene Descartes-Paris V, Hôpital Necker-Enfants Malades, Paris, France
b Department of Pediatric Cardiology, University Rene Descartes-Paris V, Hôpital Necker-Enfants Malades, Paris, France
c Department of Pathological Anatomy, University of Rome La Sapienza, Rome, Italy.

Received for publication December 11, 2006; accepted for publication December 18, 2006.

* Address for reprints: Phalla Ou, MD, Department of Pediatric Radiology, Hôpital Necker-Enfants Malades, 149, rue de Sèvres 75743 Paris Cedex 15, France. (Email: phalla.ou@nck.ap-hop-paris.fr).

The first 20% of the full text of this article appears below.

The absence of the right superior vena cava in situs solitus is a rare anomaly. It is usually associated with persistence of the left superior vena cava or other cardiac abnormalities.1Go We report here an extremely uncommon case of bilateral absence of the superior vena cava, with no associated cardiac anomaly, evaluated through a high-resolution computed tomography (CT) scan.

Clinical Summary

A 14-month-old boy was admitted to our department because of a cardiac murmur discovered during a routine pediatric evaluation. On physical examination, a systolic heart murmur of grade 1/6 to 2/6 was found. No chronic heart failure or syndromic dysmorphism had been found. The electrocardiogram showed sinus rhythm and no evidence of atrioventricular arrhythmia. A transthoracic echocardiogram found a situs solitus, levocardia with atrioventricular and ventriculoarterial concordance, normal-sized ventricles, normal intracardiac anatomy, and the inferior vena cava draining normally into the right atrium. No superior caval vein could be seen.

We performed cardiac CT scanning to confirm the . . . [Full Text of this Article]






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