Case Report: Retroaortic Innominate Vein With Supracardiac Total Anomalous Pulmonary Venous Connection

A retroaortic innominate vein (RAIV) is a rare anomaly that passes posterior to the ascending aorta to join the superior vena cava and is associated with congenital heart disease (CHD). The RAIV and normal left innominate vein (LIV) rarely duplicate. The etiology of the RAIV and its relationship wit...

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Autores principales: Toshinobu Ifuku, Ayako Kuraoka, Tomoko Ohhira, Koichi Sagawa, Toshihide Nakano, Hideaki Kado
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Publicado: Frontiers Media S.A. 2021
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Acceso en línea:https://doaj.org/article/df88d567feb84e86b0c0bb3c17c0cb1e
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spelling oai:doaj.org-article:df88d567feb84e86b0c0bb3c17c0cb1e2021-11-05T13:53:40ZCase Report: Retroaortic Innominate Vein With Supracardiac Total Anomalous Pulmonary Venous Connection2296-236010.3389/fped.2021.734567https://doaj.org/article/df88d567feb84e86b0c0bb3c17c0cb1e2021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fped.2021.734567/fullhttps://doaj.org/toc/2296-2360A retroaortic innominate vein (RAIV) is a rare anomaly that passes posterior to the ascending aorta to join the superior vena cava and is associated with congenital heart disease (CHD). The RAIV and normal left innominate vein (LIV) rarely duplicate. The etiology of the RAIV and its relationship with CHD remains unknown. We report a case involving a 1-month-old baby girl with RAIV and supracardiac total anomalous pulmonary venous connection (TAPVC). Transthoracic echocardiogram demonstrated a pulmonary venous confluence (CPV) posterior to the left atrium, an abnormal vertical vein (VV) that originated from the CPV, and a normally positioned LIV. Three-dimensional cardiac computed tomography revealed the VV and RAIV to which it merged. This is the first reported case of a combination of RAIV and isolated TAPVC. We speculate that the VV is connected to the CPV during fetal life, thus leaving the RAIV behind. The RAIV may be detected in various forms with the development of new diagnostic imaging methods. Although a RAIV itself does not require treatment, establishing a correct diagnosis before invasive tests and procedures are performed can help prevent unexpected complications.Toshinobu IfukuAyako KuraokaTomoko OhhiraKoichi SagawaToshihide NakanoHideaki KadoFrontiers Media S.A.articlecongenital heart diseasecardiac surgerytotal anomalous pulmonary venous connectionretroaortic innominate veinechocardiogramcomputed tomographyPediatricsRJ1-570ENFrontiers in Pediatrics, Vol 9 (2021)
institution DOAJ
collection DOAJ
language EN
topic congenital heart disease
cardiac surgery
total anomalous pulmonary venous connection
retroaortic innominate vein
echocardiogram
computed tomography
Pediatrics
RJ1-570
spellingShingle congenital heart disease
cardiac surgery
total anomalous pulmonary venous connection
retroaortic innominate vein
echocardiogram
computed tomography
Pediatrics
RJ1-570
Toshinobu Ifuku
Ayako Kuraoka
Tomoko Ohhira
Koichi Sagawa
Toshihide Nakano
Hideaki Kado
Case Report: Retroaortic Innominate Vein With Supracardiac Total Anomalous Pulmonary Venous Connection
description A retroaortic innominate vein (RAIV) is a rare anomaly that passes posterior to the ascending aorta to join the superior vena cava and is associated with congenital heart disease (CHD). The RAIV and normal left innominate vein (LIV) rarely duplicate. The etiology of the RAIV and its relationship with CHD remains unknown. We report a case involving a 1-month-old baby girl with RAIV and supracardiac total anomalous pulmonary venous connection (TAPVC). Transthoracic echocardiogram demonstrated a pulmonary venous confluence (CPV) posterior to the left atrium, an abnormal vertical vein (VV) that originated from the CPV, and a normally positioned LIV. Three-dimensional cardiac computed tomography revealed the VV and RAIV to which it merged. This is the first reported case of a combination of RAIV and isolated TAPVC. We speculate that the VV is connected to the CPV during fetal life, thus leaving the RAIV behind. The RAIV may be detected in various forms with the development of new diagnostic imaging methods. Although a RAIV itself does not require treatment, establishing a correct diagnosis before invasive tests and procedures are performed can help prevent unexpected complications.
format article
author Toshinobu Ifuku
Ayako Kuraoka
Tomoko Ohhira
Koichi Sagawa
Toshihide Nakano
Hideaki Kado
author_facet Toshinobu Ifuku
Ayako Kuraoka
Tomoko Ohhira
Koichi Sagawa
Toshihide Nakano
Hideaki Kado
author_sort Toshinobu Ifuku
title Case Report: Retroaortic Innominate Vein With Supracardiac Total Anomalous Pulmonary Venous Connection
title_short Case Report: Retroaortic Innominate Vein With Supracardiac Total Anomalous Pulmonary Venous Connection
title_full Case Report: Retroaortic Innominate Vein With Supracardiac Total Anomalous Pulmonary Venous Connection
title_fullStr Case Report: Retroaortic Innominate Vein With Supracardiac Total Anomalous Pulmonary Venous Connection
title_full_unstemmed Case Report: Retroaortic Innominate Vein With Supracardiac Total Anomalous Pulmonary Venous Connection
title_sort case report: retroaortic innominate vein with supracardiac total anomalous pulmonary venous connection
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/df88d567feb84e86b0c0bb3c17c0cb1e
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