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Mitral Valve Plasty in an Adult Patient Without a Right Superior Vena Cava

Overview
Journal Gen Thorac Cardiovasc Surg
Specialties Cardiology & Vascular Diseases
General Surgery
Pulmonary Medicine
Date 2012 Sep 5
PMID 22945860
Authors
Sayaka Kubota
Kiyoharu Nakano
Kojiro Kodera
Ryota Asano
Go Kataoka
Wataru Tatsuishi
Affiliations
Soon will be listed here.
Abstract

Persistent left superior vena cava without a right superior vena cava is an extremely rare condition. We report the case of a 65-year-old woman with this condition who underwent mitral valve plasty. During cardiac catheterization, the asymptomatic patient with mitral valve prolapse syndrome was found to have a persistent left superior vena cava without a right superior vena cava. During mitral valve plasty, cardiopulmonary bypass was established using bicaval drainage through the persistent left superior vena cava and the right atrium. A cannula was inserted into the persistent left superior vena cava to provide a large surgical field in the left atrium. We selected a technique that involved direct insertion of an L-shaped cannula into the persistent left superior vena cava and obtained a clear view of the surgical field. Proper assessment of the right superior vena cava is necessary when a persistent left superior vena cava is suspected.

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