CC BY-NC-ND 4.0 · Journal of Health and Allied Sciences NU 2015; 05(01): 075-078
DOI: 10.1055/s-0040-1709754
Case Report

DOUBLE SUPERIORVENACAVA AND ITS ASSOCIATED CLINICAL IMPLICATIONS - A CASE REPORT AND LITERATURE REVIEW

Sushma R Kotian
1   Lecturer, Department of Anatomy, Kasturba Medical College, Manipal University, Manipal, Karnataka, India.
,
Antony Sylvan D Souza
2   Professor & HOD, Department of Anatomy, Kasturba Medical College, Manipal University, Manipal, Karnataka, India.
,
Praveena Ravichandran
3   Postgraduate, Department of Anatomy, Kasturba Medical College, Manipal University, Manipal, Karnataka, India.
,
Pallavi Bhat
4   Associate Professor, Department of Anatomy, Kasturba Medical College, Manipal University, Manipal, Karnataka, India.
,
Mamatha Hosapatna
4   Associate Professor, Department of Anatomy, Kasturba Medical College, Manipal University, Manipal, Karnataka, India.
› Author Affiliations

Abstract

Abnormalities of the vascular system are always of extreme interest due to its importance in circulation. Normally the superior vena cava is a single vascular structure formed by the union of right and left brachiocephalic veins which are in turn formed by the union of corresponding internal jugular and subclavian veins, draining the head and neck as well as the superior extremity. However during routine dissection in the Department of Anatomy, Kasturba Medical College, Manipal, we came across a case of double superior vena cava with persistent left superior vena cava in a 58-year-old male cadaver. Both the vena cavae were formed as continuations of brachiocephalic veins of the corresponding side. The persistent left superior vena cava opened into the enlarged coronary sinus that drained into the right atrium between the opening of inferior venacava and right atrioventricular orifice. No communication was observed between the two vena cavae. A persistent left superior vena cava does not by itself produce any physiological derangement. But it has important clinical implications in certain clinical interventions. It may complicate placement of cardiac catheters or pacemaker leads. Awareness of this anomaly may therefore reduce confusions and thus would help to avoid further complications.



Publication History

Article published online:
22 April 2020

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  • References

  • 1 Erdogan M, Karakas P, Uygur F. Persistent left superior vena cava: the anatomical and surgical importance. West Indian Med J. 2007; 56: 72- 76.
  • 2 Ying ZQ, Ma J, Xu G, Chen MY. Double superior vena cava with a persistent left superior vena cava. Intern Med. 2008; 47: 679-680.
  • 3 Biffi M, Boriani G, Frabetti L, Bronzetti G, BranziA . Left superior vena cava persistence in patients undergoing pacemaker or cardioverterdefibrillator implantation: a 10-year experience. Chest. 2001; 120: 139-144.
  • 4 Chandra A, Reul GJ Jr. Persistent left superior vena cava. Discovered during placement of central venous catheter. Tex Heart Inst J. 1998; 25: 90.
  • 5 Goyal SK, Punnam SR, Verma G, Ruberg FL. Persistent left superior vena cava: a case report and review of literature. Cardiovasc Ultrasound. 2008; 6: 50.
  • 6 Yurtdas M, Sahin M.Double superior vena cava (persistent left superior vena cava draining into the coronary sinus) – case report. Eastern Journal of Medicine. 2013; 18: 23-25.
  • 7 Sadler TW. Langman's Medical Embryology. 7th ed. Baltimore: Williams and Wilkins. 1995; 221-3.
  • 8 Paval J, Nayak S. A persistent left superior vena cava. Singapore Med J. 2007;48: 90-93.
  • 9 Gerber TC, Kuzo RS. Images in cardiovascular medicine. Persistent left superior vena cava demonstrated with multislice spiral computed tomography. Circulation. 2002; 105:79.
  • 10 Minniti S, Visentini S, Procacci C. Congenital anomalies of the venae cavae: embryological origin, imaging features and report of three new variants. EurRadiol. 2002; 12:2040–2055.
  • 11 Park MK. Pediatric cardiology for practitioners. 4th ed. St. Louis: Mosby. 2002; 141– 263.
  • 12 Pasquini L, Fichera A, Tan T, Ho SY, Gardiner H. Left superior caval vein: a powerful indicator of fetal coarctation. Heart. 2005; 91:539–540.
  • 13 Onbas O, Kantarci M, Koplay M, Olgun H, Alper F, Aydinli B, Zirek H, Ceviz N. Congenital anomalies of the aorta and vena cava: 16-detectorrow CT imaging findings. DiagnIntervRadiol. 2008; 13:163-171