Isolated drainage of the superior vena cava into the left atrium in a 52-year-old man. A rare congenital malformation in the adult presenting with cyanosis, polycythemia, and an unsuccessful lung scan

M. D. Ezekowitz, P. O. Alderson, B. H. Bulkley, P. N. Dwyer, Levi Watkins, D. L. Lappe, H. L. Greene, L. C. Becker

Research output: Contribution to journalArticlepeer-review

Abstract

This report describes a 52-year-old black male with the isolated finding of an anomalous superior vena cava draining into the left atrium. The patient presented with dizziness, mild cyanosis, polycythemia and normal cardiac and pulmonary findings. The first major diagnostic clue in this confusing clinical presentation was an unsuccessful lung perfusion scan in which intravenous tracer consistently bypassed the lungs. This appears to be the first adult presenting with this rare anomaly. This condition should be suspected if cyanosis, clubbing, and a 'normal' cardiac examination coexist and if the more common pulmonary and hematological causes of this triad have been excluded.

Original languageEnglish (US)
Pages (from-to)751-756
Number of pages6
JournalUnknown Journal
Volume58
Issue number4
DOIs
StatePublished - 1978
Externally publishedYes

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Physiology (medical)

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