Levoatriocardinal Vein: A Rarely Recognized Cause of Recurrent Cardiac and Cerebral Thromboembolic Events.
Title | Levoatriocardinal Vein: A Rarely Recognized Cause of Recurrent Cardiac and Cerebral Thromboembolic Events. |
Publication Type | Journal Article |
Year of Publication | 2020 |
Authors | Karangelis, D., Avramidis D., Mousiama T., Karamitsos T. D., Mitropoulos F., & Tzifa A. |
Journal | Can J Cardiol |
Volume | 36 |
Issue | 4 |
Pagination | 589.e9-589.e11 |
Date Published | 2020 04 |
ISSN | 1916-7075 |
Keywords | Adult, Heart Diseases, Humans, Intracranial Embolism, Intracranial Thrombosis, Male, Recurrence, Thromboembolism, Veins |
Abstract | Levoatriocardinal vein (LACV) is a rare congenital anomaly of the systemic veins. We describe the case of a 43-year-old patient who presented with a transient ischemic attack episode, desaturation, and ventricular arrhythmias. Transesophageal echocardiography diagnosed a patent foramen ovale, and magnetic resonance imaging revealed 2 small myocardial infarcts, despite normal coronaries on subsequent angiography. Echocardiography and cardiac computed tomography revealed an LACV with bidirectional flow. The patient underwent percutaneous LACV and patent foramen ovale closure, with immediate saturation increase after occlusion of the LACV. To the best of our knowledge, this is the first time an LACV is identified as the cause of recurrent thromboembolic events. |
DOI | 10.1016/j.cjca.2019.11.007 |
Alternate Journal | Can J Cardiol |
PubMed ID | 32220389 |