Persistent left vertical vein: An unusual cause of pulmonary hypertension and cirrhosis in a patient with hypertrophic obstructive cardiomyopathy.

Abstract

The persistent vertical (levoatriocardinal) vein is an abnormal, persistent connection between the pulmonary venous system and the systemic venous system (1). This variation accompanies total pulmonary venous return anomaly and rarely with pathologies such as atrial septal defect, ventricular septal defect, and mitral stenosis (1–3). Its association with hypertrophic obstructive cardiomyopathy (HOCM) has been shown in only one case (4). In this case report, we have presented the interventional treatment of both the pathologies in the same session.