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Document Details :

Title: Abnormality of venous return associated with congenital heart defect in an adult patient
Author(s): MASSOURE, P.-L. , LATRABE, V. , ROUDAUT, R.
Journal: Acta Cardiologica
Volume: 62    Issue: 3   Date: June 2007   
Pages: 299-301
DOI: 10.2143/AC.62.3.2020821

Abstract :
Systemic venous abnormalities are common and in some cases may be associated with congenital heart defects.
We report here a case of a 67-year-old woman with bilateral superior vena cava with interruption of the inferior vena cava with hemiazygous continuation in the context of left atrial isomerism. These abnormalities were associated with a small secundum atrial septal defect and patent foramen ovale. The dilated hemiazygous vein was a potential mimicker of aortic pathology.The dilated coronary sinus was a sign of anomalous venous return.
The echocardiographist should search systematically for a congenital heart defect on detection of this type of anomalous venous return. Radiological imaging can help to confirm the diagnosis.