Extracardiac Pulmonary-Systemic Connection via Persistent Levoatriocardinal Vein in Adults

Annals of Vascular Surgery
Farhood Saremi, Siew Yen Ho


The levoatriocardinal vein is a very rare but clinically important intrathoracic venous anomaly that connects the systemic (cardinal) and pulmonary venous channels. We report 4 adults with pulmonary-systemic venous communications that can explain the morphology of the extracardiac interatrial shunting through the persistent levoatriocardinal vein. We discuss the imaging features of the 2 types of such communications: direct connection of the levoatriocardinal vein (1) with the left atrium and (2) with the left superior pulmonary vein in the absence of obstructive left heart disease. Accurate characterization of these diagnostically challenging cases is important because in addition to hemodynamic imbalance they are at risk of paradoxical embolism. Computed tomography and magnetic resonance imaging are noninvasive imaging techniques that should play increasingly important roles in the evaluation of these anomalies.


Oct 1, 1995·Journal of the American College of Cardiology·H S BernsteinN H Silverman
Nov 1, 1993·Pediatric Pathology·C A PintoRobert H Anderson
May 28, 2014·The Anatomical Record : Advances in Integrative Anatomy and Evolutionary Biology·Robert H AndersonTimothy J Mohun

Related Concepts

Arterial Embolism
Magnetic Resonance Imaging
Cardinalis cardinalis
Entire Vein
Science of Morphology
X-Ray Computed Tomography
Morphologically Abnormal Structure (Morphologic Abnormality)
Left Atrial Structure

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