Hostname: page-component-586b7cd67f-t7fkt Total loading time: 0 Render date: 2024-11-28T12:26:51.657Z Has data issue: false hasContentIssue false

Unique levoatriocardinal veins in neonates with hypoplastic left heart syndrome and intact atrial septum

Published online by Cambridge University Press:  11 September 2017

Chiaki Iida
Affiliation:
Department of Pediatrics, Japan Community Healthcare Organization Kyushu Hospital, Kitakyushu, Japan
Jun Muneuchi*
Affiliation:
Department of Pediatrics, Japan Community Healthcare Organization Kyushu Hospital, Kitakyushu, Japan
Mamie Watanabe
Affiliation:
Department of Pediatrics, Japan Community Healthcare Organization Kyushu Hospital, Kitakyushu, Japan
*
Correspondence to: J. Muneuchi, MD, Department of Pediatrics, Japan Community Healthcare Organization Kyushu Hospital, 1-8-1, Kishinoura, Yahatanishi-ku, Kitakyushu, Fukuoka 806-8501, Japan. Tel: +81 93 641 5111; Fax: +81 93 642 1868; E-mail: [email protected]

Abstract

We had two cases of neonates with hypoplastic left heart syndrome and intact atrial septum who had unique levoatriocardinal veins. Contrast-enhanced CT and angiography revealed that previously unknown communicating vessels ran from the top of the left atrium and drained into the right atrium. We emphasise that transcatheter atrial septostomy should be performed not through these communicating vessels but using the trans-septal approach in neonates with hypoplastic left heart syndrome and an intact atrial septum.

Type
Brief Report
Copyright
© Cambridge University Press 2017 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Rychik, J, Rome, JJ, Collins, MH, DeCampli, WM, Spray, TL. The hypoplastic left heart syndrome with intact atrial septum: atrial morphology, pulmonary vascular histopathology and outcome. J Am Coll Cardiol 1999; 34: 554560.CrossRefGoogle ScholarPubMed
2. Bernstein, HS, Moore, P, Stanger, P, Silverman, NH. The levoatriocardinal vein: morphology and echocardiographic identification of the pulmonary-systemic connection. J Am Coll Cardiol 1995; 26: 9951001.CrossRefGoogle ScholarPubMed
3. Pesonen, E, Haavisto, H, Ammala, P, Teramo, K. Intrauterine hydrops caused by premature closure of the foramen ovale. Arch Dis Child 1983; 58: 10151016.CrossRefGoogle ScholarPubMed
4. Moerman, PL, Van Dijck, H, Lauweryns, JM, et al. Premature closure of the foramen ovale and congenital pulmonary cystic lymphangiectasis in aortic valve atresia or in severe aortic valve stenosis. Am J Cardiol 1986; 57: 703705.CrossRefGoogle ScholarPubMed
5. Tweddell, JS, Hoffman, GM, Ghanayem, NS, Frommelt, MA, Mussatto, KA, Berger, S. Hypoplastic left heart syndrome. In: Allen HD, Driscoll DJ, Shaddy RE, Feltes TH, eds. Moss and Adams’ Heart Disease in Infants, Children, and Adolescents, Including the Fetus and Young Adults, 8th edn. Lippincott Williams & Wilkins, Wolters Kluwer Business, Philadelphia, 2013: 10611096.Google Scholar