Left sided superior vena cava

Case contributed by Mahomed A. Osman
Diagnosis not applicable

Patient Data

Gender: Male

A left sided superior vena cava is seen coursing anterior to the left hilum and inferior to the aortic arch, following which it courses medially, anterior to the trachea and joins the normal right sided superior vena cava. 

Case Discussion

A left sided SVC is the most common vascular anatomic variant seen in the chest, and is usually asymptomatic and therefore an incidental finding. A small proportion of left sided SVC's that drain directly into the left atrium can cause left to right shunt, which may be symptomatic.

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