Abstract
Methods 46-year-old male patient was hospitalized because of shortness of breath. The patient’s general condition was very bad and he was confined to a wheelchair. The patient was in New York Heart Association Functional Classification (NYHA FC) Class IV. Severe aortic stenosis, EF 20%, Left ventricular end-systolic diameter 65 mm, end-diastolic diameter 50mm, global hypokinesia, gradient 51/13 mm Hg, normal mitral valve, pulmonary hypertension (75 / 24mmHg) were determined on transthoracic echocardiography. Basal gradient increased from 51/ 13mm Hg to 72/40 mmHg on dobutamine stress echocardiography.
Highlights
Persistent left superior draining into the left atrium is very rare
The patient was in New York Heart Association Functional Classification (NYHA FC) Class IV
Basal gradient increased from 51/ 13mm Hg to 72/40 mmHg on dobutamine stress echocardiography
Summary
Persistent left superior draining into the left atrium is very rare. In this case report we are presenting a patient with persistent left superior vena cava draining to left atrium which was probably causing left-right shunt. Coexistence of persistent left superior vena cava which is drained directly to left atrium and aortic stenosis with low gradient and low ejection fraction O Tetik1*, Y Besir2, S Surer3, O Rodoplu3 Background Persistent left superior draining into the left atrium is very rare.
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