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Anomalous left hepatic vein to coronary sinus in a patient with atrial septal defect : Minimally invasive approach ; Technical challenges
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  • Rajesh Rao,
  • Varadraju R,
  • Girish Basappa,
  • Naveen Sing
Rajesh Rao
Sri Jayadeva Institute of Cardiology
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Varadraju R
Sri Jayadeva Institute of Cardiovascular Sciences and Research
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Girish Basappa
Sri Jayadeva Institute of Cardiovascular Sciences and Research
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Naveen Sing
Sri Jayadeva Institute of Cardiovascular Sciences and Research
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Abstract

Left hepatic vein draining into coronary sinus is a rare systemic vascular anomaly. Its presence is significant when it is associated with other cardiac lesions requiring surgery. We report technical challenges in a case of persistent left superior vena cava and left hepatic vein draining into coronary sinus in an adult with ostium secundum atrial septal defect, which was repaired through minimally invasive approach. Main technical challenge in this case was to achieve adequate venous drainage, which was achieved by vacuum assistance and by manipulating the position of femoral venous cannula. We approached through right anterolateral thoracotomy, adequate venous drainage was achieved without cannulating left hepatic vein or left superior vena cav.

Peer review status:ACCEPTED

27 Jun 2021Submitted to Journal of Cardiac Surgery
28 Jun 2021Submission Checks Completed
28 Jun 2021Assigned to Editor
11 Jul 2021Review(s) Completed, Editorial Evaluation Pending
11 Jul 2021Editorial Decision: Revise Minor
22 Jul 20211st Revision Received
24 Jul 2021Submission Checks Completed
24 Jul 2021Assigned to Editor
01 Aug 2021Review(s) Completed, Editorial Evaluation Pending
02 Aug 2021Editorial Decision: Accept