Right superior vena cava draining into the left atrium: Prenatal diagnosis and postnatal management

M. Vassallo; M. Pascotto; C. Pisacane; G. Santoro; D. Paladini; M. G. Russo; R. Calabrò

doi:10.1002/uog.2758

Right superior vena cava draining into the left atrium: Prenatal diagnosis and postnatal management

M. Vassallo, M. Pascotto, C. Pisacane, G. Santoro, D. Paladini, M. G. Russo, R. Calabrò

Istituto "Giannina Gaslini"

Research output: Contribution to journal › Article › peer-review

Abstract

Right superior vena cava (RSVC) draining into the left atrium, causing hypoxemia, represents a very rare congenital malformation which has not previously been described in the fetus. We describe a case in which fetal echocardiography at 22 weeks' gestation revealed an enlarged superior vena cava connecting abnormally with a mildly enlarged left atrium. Neonatal transthoracic echocardiography confirmed the diagnosis and showed an abnormal connection of the right pulmonary veins to the RSVC. Right-to-left shunt due to anomalous drainage of the RSVC into the left atrium associated with an atrial septal defect and anomalous pulmonary venous return were diagnosed on echocardiography and confirmed by angiography. The newborn was hemodynamically stable at birth and at the 1-year follow-up.

Original language	English
Pages (from-to)	445-448
Number of pages	4
Journal	Ultrasound in Obstetrics and Gynecology
Volume	27
Issue number	4
DOIs	https://doi.org/10.1002/uog.2758
Publication status	Published - Apr 2006

Keywords

Abnormal systemic venous return
Atrial septal defect
Congenital heart disease
Fetal echocardiography
Left atrium
Right superior vena cava

ASJC Scopus subject areas

Obstetrics and Gynaecology
Radiology Nuclear Medicine and imaging
Radiological and Ultrasound Technology
Reproductive Medicine
Acoustics and Ultrasonics

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title = "Right superior vena cava draining into the left atrium: Prenatal diagnosis and postnatal management",

abstract = "Right superior vena cava (RSVC) draining into the left atrium, causing hypoxemia, represents a very rare congenital malformation which has not previously been described in the fetus. We describe a case in which fetal echocardiography at 22 weeks' gestation revealed an enlarged superior vena cava connecting abnormally with a mildly enlarged left atrium. Neonatal transthoracic echocardiography confirmed the diagnosis and showed an abnormal connection of the right pulmonary veins to the RSVC. Right-to-left shunt due to anomalous drainage of the RSVC into the left atrium associated with an atrial septal defect and anomalous pulmonary venous return were diagnosed on echocardiography and confirmed by angiography. The newborn was hemodynamically stable at birth and at the 1-year follow-up.",

keywords = "Abnormal systemic venous return, Atrial septal defect, Congenital heart disease, Fetal echocardiography, Left atrium, Right superior vena cava",

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T2 - Prenatal diagnosis and postnatal management

AU - Vassallo, M.

AU - Pascotto, M.

AU - Pisacane, C.

AU - Santoro, G.

AU - Paladini, D.

AU - Russo, M. G.

AU - Calabrò, R.

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AB - Right superior vena cava (RSVC) draining into the left atrium, causing hypoxemia, represents a very rare congenital malformation which has not previously been described in the fetus. We describe a case in which fetal echocardiography at 22 weeks' gestation revealed an enlarged superior vena cava connecting abnormally with a mildly enlarged left atrium. Neonatal transthoracic echocardiography confirmed the diagnosis and showed an abnormal connection of the right pulmonary veins to the RSVC. Right-to-left shunt due to anomalous drainage of the RSVC into the left atrium associated with an atrial septal defect and anomalous pulmonary venous return were diagnosed on echocardiography and confirmed by angiography. The newborn was hemodynamically stable at birth and at the 1-year follow-up.

KW - Abnormal systemic venous return

KW - Atrial septal defect

KW - Congenital heart disease

KW - Fetal echocardiography

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KW - Right superior vena cava

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