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European Heart Journal 1990 11(9):845-847;
Copyright © 1990 by the European Society of Cardiology.
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© 1990 The European Society of Cardiology

Hepatic venous connection to a persistent inferior caval vein in left isomerism

J. GUENTHARD, J. S. CARVALHO, R. H. ANDERSON and M. L. RlGBY

Department of Paediatrics, National Heart and Lung Institute Dovehouse Street, London SW3 6LY, U.K.

Received 6 November 1989; revised 10 January 1990; .

Address for correspondence: Professor R. H. Anderson, Department of Paediatrics, National Heart & Lung Institute, Dovehouse Street, London SW3 6LY, U.K.

Abstract

In 22 cases of left atrial isomerism studied at the Brompton Hospital, four cases were found to have an unusual arrangement of the abdominal vessels. There was persistence of an inferior caval vein, partially anomalous hepatic venous connection and additional continuation of part of the venous return from the lower body through the azygos venous system. This venous pattern had surgical implications in our index case, since redirection of the inferior caval venous return was necessary.

Key Words: Left atrial isomerism • anomalous hepatic venous connection • persistent inferior caval vein • congenital heart disease


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