Anomalous Left Hepatic Vein to Coronary Sinus In A Patient With
Atrial Septal Defect : Minimally Invasive Approach ; Technical
challenges.
Rajesh K Rao*1 MCh , Varadaraju R 1MCh , Girish B 1 MCh ,
Naveen Singh 2 DM
* Corresponding author , Professor, Department of Cardiac Surgery
Sri Jayadeva Institute of Cardiovascular Sciences & Research,
Jayanagar 9th Block, B.G.Road, Bengaluru- 560069,
Karnataka, India.
Mobile : +919886964031
E-mail :
rajesh.mk5207@gmail.com
1 Department of Cardiac Surgery , Sri Jayadeva Institute of
Cardiovascular Sciences & Research
2 Department of Cardiac Anesthesia, Sri Jayadeva Institute of
Cardiovascular Sciences & Research
Rajesh K Rao . ORCID ID 0000-0001-8117-2776
Varadraju R. e-mail; jphm414@gmail.com ORCID ID 0000-0003-0568 -3990
Girish B. e-mail; girishb1009@gmail.com ORCID ID 0000-0003-1923-7799
Naveen Singh. e-mail;
navsing5207@gmail.com
ORCID ID 0000-0003-2700-1540
Conflict of interest : None declared
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 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
cava.
Clinical trial registration : N/A
International Review Board approval : N/A
Informed consent was obtained from the patient