Rare case of right ventricular dilatation associated with anomalous pulmonary venous drainage, sinus venosus atrial septal defect and persistent left superior vena cava.
BMJ Case Rep
; 14(1)2021 Jan 11.
Article
in English
| MEDLINE | ID: covidwho-1020898
ABSTRACT
A 34-year-old woman was seen in the emergency department for shortness of breath and chest pain. During a pandemic, it is easy to 'think horses and not zebras', and with a patient presenting with the classic coronavirus symptoms it would have been easy to jump to that as her diagnosis. After a careful history and examination, it became clear that there was another underlying diagnosis. Chest X-ray, echocardiogram and CT scan revealed marked right ventricular dilatation and pulmonary hypertension, alongside a persistent left superior vena cava (PLSVC). Further investigation with cardiac MRI and coronary angiography at a tertiary centre demonstrated that she not only have a PLSVC but also a partial anomalous pulmonary venous drainage and sinus venosus atrial septal defect. This case highlights the importance of considering all differentials and approaching investigations in a logical manner.
Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Scimitar Syndrome
/
Chest Pain
/
Hypertrophy, Right Ventricular
/
Dyspnea
/
Persistent Left Superior Vena Cava
/
COVID-19
/
Heart Septal Defects, Atrial
/
Hypertension, Pulmonary
Type of study:
Case report
/
Diagnostic study
/
Observational study
/
Prognostic study
/
Randomized controlled trials
Topics:
Long Covid
Limits:
Adult
/
Female
/
Humans
Language:
English
Year:
2021
Document Type:
Article
Affiliation country:
Bcr-2020-239687
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