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<p>A 35-year-old female presented with heart failure. She was evaluated and found to have persistent left superior vena cava, no right superior vena cava (RSVC), coronary arteriovenous fistula into left-sided superior vena cava (LSVC) with left-to-right (L-R) shunt. She underwent closure of fistula using cardiopulmonary bypass and antegrade&#xa0;and&#xa0;retrograde cardioplegia. After opening the distal left circumflex, a coronary probe was passed through the fistula to delineate the course. The fistula was closed from both ends using a pericardial patch. This is a very rare anomaly with a single SVC.</p>

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Coronary arteriovenous fistula draining into single left superior vena cava

  • 期刊论文

  • 发表日期：

    2025年6月27日

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  • Pramod Reddy Kandakure,
  • Sruthi Rayala,
  • Shivashankara Reddy Talapareddy,
  • Kiran Kumar,
  • Samhita Kalmireddy,
  • Sampath Rao Nayakawadi

摘要

A 35-year-old female presented with heart failure. She was evaluated and found to have persistent left superior vena cava, no right superior vena cava (RSVC), coronary arteriovenous fistula into left-sided superior vena cava (LSVC) with left-to-right (L-R) shunt. She underwent closure of fistula using cardiopulmonary bypass and antegrade and retrograde cardioplegia. After opening the distal left circumflex, a coronary probe was passed through the fistula to delineate the course. The fistula was closed from both ends using a pericardial patch. This is a very rare anomaly with a single SVC.