Persistent Left Superior Vena Cava Draining Into the Left Atrium Found During Bypass Operation Catharina Schreiber, MD, Michael Kirnbauer, MD, Reinhold.

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Persistent Left Superior Vena Cava Draining Into the Left Atrium Found During Bypass Operation Catharina Schreiber, MD, Michael Kirnbauer, MD, Reinhold Hoellinger, Rainald Seitelberger, MD, Roman Gottardi, MD The Annals of Thoracic Surgery Volume 103, Issue 2, Pages e161-e162 (February 2017) DOI: 10.1016/j.athoracsur.2016.06.106 Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Intraoperative view of an unexpected persistent left superior vena cava (PLSVC; #) draining into the left atrium during on-pump coronary artery bypass grafting. A brachiocephalic vein (*) connects the PLSVC to a coexisting right superior vena cava. The Annals of Thoracic Surgery 2017 103, e161-e162DOI: (10.1016/j.athoracsur.2016.06.106) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 (A) Intraoperative transesophageal color Doppler image showing a persistent left superior vena cava 7 mm in diameter draining into the left atrium (LA). (B) Postoperative cerebral computed tomographic scan showing recent bilateral border zone infarction and residual postischemic lacunae in both cerebral hemispheres up to 16 mm (arrow). The Annals of Thoracic Surgery 2017 103, e161-e162DOI: (10.1016/j.athoracsur.2016.06.106) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions