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Abstract
RÉSUMÉ
La persistance de la veine cave supérieure gauche (PVCSG) est une malformation congénitale rare et bénigne. Elle est souvent asymptomatique et sa découverte est dans la majorité des cas fortuite. Nous rapportons le cas d'une patiente adulte chez laquelle on découvre cette anomalie suite à une insuffisance cardiaque décompensée. La patiente K. K., âgée de 38 ans, sans antécédents chirurgicaux, ni facteurs de risque cardiovasculaire, deuxième geste et deuxième pare, admise pour insuffisance cardiaque décompensée, stade IV de la NYHA. L'examen physique à son admission a trouvé un syndrome d’insuffisance cardiaque globale. L'électrocardiogramme a mis en évidence une tachycardie sinusale et une HVG. La radiographie du thorax a montré une cardiomégalie, un arc moyen gauche en double contour. L'échocardiographie trans-thoracique (ETT) a mis en évidence une dilatation nette du sinus coronaire et a objectivé une dilatation des cavités cardiaques et de l’artère pulmonaire, une insuffisance mitrale fonctionnelle, une réduction de la FEVG et une HTAP. Un angioscanner thoracique a confirmé le diagnostic de PVCSG. Par ailleurs l'aorte thoracique a été normale dans ses différents segments.
ABSTRACT
Persistence of the left superior vena cava is a rare and benign congenital malformation. It is often asymptomatic and its discovery is in the majority of cases forfuitous. We report the case of an adult patient in whom this anomaly was discovered following decompensated heart failure. The patient K.K., aged 38, without surgical history or cardiovascular risk factors, second procedure and second parity, admitted for decompensated heart failure, NYHA stage IV. Physical examination upon admission found congestive heart failure syndrome. The electrocardiogram revealed sinus tachycardia and LVH. Chest x-ray showed cardiomegaly, a double-contoured left middle arch. Transthoracic echocardiography (TTE) demonstrated a clear dilation of the coronary sinus and demonstrated dilation of the cardiac chambers and the pulmonary artery, functional mitral regurgitation, a reduction in LVEF and PAH. A chest CT angiography confirmed the diagnosis of PLSVC. Furthermore, the thoracic aorta was normal in these different segments.
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References
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- Kamel Abidi et al. The Pan African Medical Journal Persistance de la veine cave supérieure gauche : à propos d’un cas 2015 ; 22 :36 doi : 10.11604/pamj.2015.22.36.7861
- M’Balla Amougou et al. Health Sci. Dis : vol 19 (4) oct. nov. déc. 2018
- 10. J Yeungnam Med Sci 2023, 40 (4) 461- 465
References
Uçar O, Pasaoglu L, Ciçekçioglu H, Vural M, Kocaoglu I, Aydogdu S. Persistent left superior vena cava with absent right superior vena cava : a case report and review of the literature. Cardiovasc J Afr. 2010 ; 21(3) : 164-6. PubMed |Google Scholar
Sohns JM, Fasshauer M, Staab W, Steinmetz M, UnterbergBuchwald C, Menke J, Lotz J. Persistent left superior vena cava detected after central venous catheter insertion. Springerplus. 2014 ; 3 :437. PubMed | Google Scholar
Duymus M, Yesilkaya Y, Orman G, Bozkurt A, Yilmaz O. Persistent left superior vena cava draining to the left atrium : a case report and review of the literature. Pol J Radiol. 2012 ; 77(4) : 65-6. PubMed | Google Scholar
Goyal SK, Punnam SR, Verma G, Ruberg FL. Persistent left superior vena cava : a case report and review of literature. Cardiovasc Ultrasound. 2008 Oct. 10 ;6 : 50. PubMed | Google Scholar
Povoski SP, Khabiri H. Persistent left superior vena cava : review of the literature, clinical implications, and relevance of alterations in thoracic central venous anatomy as pertaining to the general principles of central venous access device placement and venography in cancer patients. World J Surg Oncol. 2011 Dec 28 ;9 : 173. PubMed | Google Scholar
Morgan LG, Gardner J, Calkins J. The incidental finding of a persistent left superior vena cava : implications for primary care providers-case and review. Case Rep Med. 2015 ; 2015 : 198754. PubMed | Google Scholar
Nair GM, Shen S, Nery PB, Redpath CJ, Birnie DH. Cardiac resynchronization therapy in a patient with persistent left superior vena cava draining in to the coronary sinus and absent innominate vein : a case report and review of literature. Indian Pacing Electrophysiol J. 2014 ; 14(5) : 268-72. PubMed |Google Scholar
Kamel Abidi et al. The Pan African Medical Journal Persistance de la veine cave supérieure gauche : à propos d’un cas 2015 ; 22 :36 doi : 10.11604/pamj.2015.22.36.7861
M’Balla Amougou et al. Health Sci. Dis : vol 19 (4) oct. nov. déc. 2018
10. J Yeungnam Med Sci 2023, 40 (4) 461- 465