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Physiological impact and transcatheter treatment of the persisting left superior caval vein

Published online by Cambridge University Press:  15 August 2006

Kalyani R. Trivedi ,
Robert M. Freedom ,
Shi-Joon Yoo ,
Brian W. McCrindle  and
Lee N. Benson
Kalyani R. Trivedi
Affiliation:
Department of Pediatrics, Division of Cardiology, The Variety Club Cardiac Catheterization Laboratories and The Hospital for Sick Children, The University of Toronto School of Medicine, Toronto, Ontario, Canada
Robert M. Freedom
Affiliation:
Department of Pediatrics, Division of Cardiology, The Variety Club Cardiac Catheterization Laboratories and The Hospital for Sick Children, The University of Toronto School of Medicine, Toronto, Ontario, Canada
Shi-Joon Yoo
Affiliation:
Department of Diagnostic Imaging, Division of Cardiology, The Variety Club Cardiac Catheterization Laboratories and The Hospital for Sick Children, The University of Toronto School of Medicine, Toronto, Ontario, Canada
Brian W. McCrindle
Affiliation:
Department of Pediatrics, Division of Cardiology, The Variety Club Cardiac Catheterization Laboratories and The Hospital for Sick Children, The University of Toronto School of Medicine, Toronto, Ontario, Canada
Lee N. Benson
Affiliation:
Department of Pediatrics, Division of Cardiology, The Variety Club Cardiac Catheterization Laboratories and The Hospital for Sick Children, The University of Toronto School of Medicine, Toronto, Ontario, Canada
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Abstract

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A left superior caval vein frequently occurs in the malformed, as well as in the structurally normal, heart. Its physiological impact varies, and is determined by its connections and whether there are associated cardiac lesions. In this review, we describe 3 patients with such a vein, 1 without other lesions and 2 with the anomalous venous channel as a component of a complex cardiac malformation. In all cases, transcatheter techniques were used to treat the physiological dysfunction caused by the presence of the vein. The connections of the vein, and the complexity of the associated cardiac lesions, determine the options for treatment. We define the role of surgical as opposed to transcatheter intervention, and discuss strategies for transcatheter treatment.

Keywords

Systemic veinssuperior vena cavacoronary sinusinterventional cardiology
Type
Review
Information
Cardiology in the Young , Volume 12 , Issue 3 , May 2002 , pp. 218 - 223
Copyright
2002 Cambridge University Press