Levoatrial cardinal vein

Case contributed by Dr Husam Hussein Yaseen


History of aortic stenting for relieving coarctation of the aorta.

Patient Data

Age: 40 years
Gender: Male

A vessel seen lateral to the aortic arch extends from the left brachiocephalic vein to the left superior pulmonary vein before entering the left atrium, consistent with a persistent levoatrial cardinal vein.

Case Discussion

A persistent left-sided SVC, partial anomalous pulmonary venous return (PAPVR), and prominent left superior intercostal vein are differential diagnoses that should be borne in mind when a vascular structure passes left lateral to the aortic arch.

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