JACC. Case reports · 2026
Double-Drainage Levoatrial Cardinal Vein: Cardiac CT Evaluation of Compensatory Pulmonary Venous Pathway in Univentricular Heart.
СтатьяНазвание и аннотация: Перевод в очереди
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Alanís-Naranjo José Martín, Rosas-Vázquez Ana María, Jiménez-Santos Moisés, Lara-Ameca Víctor Jesús, De la Cruz-Pelayo Javier, Basso-Barba Gennaro, García-Montes José Antonio, Chumbes-Aguirre Maryuri Dorita, de la Mora-Cervantes Regina
Аннотация
CASE SUMMARY: An 8-day-old boy with univentricular physiology presented with respiratory failure and persistent hypoxemia. Cardiac computed tomography angiography showed a dominant right ventricle with mitral atresia and an intact atrial septum, double-outlet right ventricle, and persistent ductus arteriosus. Pulmonary veins connected to the left atrium but were markedly dilated, with anomalous dual drainage through a levoatrial cardinal vein into the innominate and azygos veins. Despite emergent atrial septectomy, pulmonary artery banding, and ductal ligation, the outcome was unfavorable.
TAKE-HOME MESSAGE: Distinguishing pulmonary venous connection from drainage is essential, and cardiac computed tomography angiography is key for surgical planning.
TAKE-HOME MESSAGE: Distinguishing pulmonary venous connection from drainage is essential, and cardiac computed tomography angiography is key for surgical planning.