Persistent Left Superior Vena Cava: Implications of Surgical Management

Persistent Left Superior Vena Cava: Implications of Surgical Management

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Persistent left superior vena cava is the most common congenital anomaly of thoracic venous return, which results when the left anterior cardinal vein fails to regress.A 41-year-old African American male with a history of an unspecified childhood cardiac murmur presented to the emergency department with congestive heart failure exacerbation revealing an earthbath facial wipes incidental finding of a persistent left superior vena cava.Ultimately, he required wella color touch 77 45 implantable cardioverter defibrillator placement and cardiac transplantation assessment.

In the setting of advanced device placement or cardiac transplantation, a persistent left superior vena cava warrants several important clinical considerations at a center capable of addressing the possibility of a right-sided approach and transplantation irregularities.