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Anomalous drainage of the right superior vena cava into the left atrium in a 61-year-old woman.

Abstract：

:This report describes a 61-year-old female with an anomalous drainage of the right superior vena cava into the left atrium. The patient presented progressively severe dyspnea and precordial pain on exertion, lightheadedness, easy fatiguability and a constant decline in her performance but normal cardiac and pulmonary findings. Following a suspicious lung perfusion scan, diagnosis was assessed by echocardiography and confirmed by cardiac catheterization and nuclear magnetic resonance imaging. This anomaly leading to a right to left shunt appears to be a rare congenital cardiac malformation, particularly if diagnosed in the adult. The calculated shunt volume at rest was approximately 15% of the total body circulation. Although the functional relevance appears questionable, exercise of the upper limbs caused a significant decrease in systemic O2-saturation.

journal_name

Int J Cardiol

journal_title

International journal of cardiology

authors

Rosenkranz S,Stäblein A,Deutsch HJ,Verhoeven HW,Erdmann E

doi

10.1016/s0167-5273(98)00054-0

subject

Has Abstract

pub_date

1998-05-15 00:00:00

pages

285-91

issue

3

eissn

0167-5273

issn

1874-1754

pii

S0167527398000540

journal_volume

64

pub_type

杂志文章,评审

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