Congenital systemic-pulmonary collateral vein unexpectedly noticed after central venous catheter insertion

Annals of Vascular Diseases
Hiroshi MiuraTsunehiko Nishimura


Congenital systemic-pulmonary collateral vein (i.e. levoatriocardinal vein) is an uncommon cardiac anomaly. We report a rare case of congenital systemic-pulmonary collateral vein incidentally noticed after accidental migration of a central venous catheter. Cardiac CT showed the vertical vein connected to the left upper pulmonary vein (LUPV) and another thin abnormal vessel was shown running caudally from the LUPV, connecting to the coronary sinus. Furthermore, the normal connection between the LUPV and the left atrium remained. There were two levoatriocardinal veins from the LUPV without atrial egress failure. To our knowledge, this might be the first report of such a case.


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Oct 1, 1995·Journal of the American College of Cardiology·H S BernsteinN H Silverman
Feb 13, 1999·Pediatric Cardiology·K FujiwaraH Suzuki
Jul 15, 2003·The British Journal of Radiology·M Davies, P J Guest
Jul 11, 2009·Clinical Radiology·S S H AmerasekeraM J Cleasby
Jan 1, 2011·Annals of Vascular Diseases·Takuji YamagamiTsunehiko Nishimura

Related Concepts

Blood Vessel
Left Atrial Structure
Structure of Superior Left Pulmonary Vein
Anatomical Space Structure
Cardiac CT
Central Venous Catheter, Device
Collateral Vessel
Migration, Cell

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