"Left SVC persistence, a rare but important congenital vascular anomaly with a reported incidence of 0.3% to 1.3% in the general population, results when a left superior cardinal vein fails to regress during gestation. Left SVC drains into the RA through the coronary sinus with no major hemodynamic effect and patient is usually asymptomatic...However, there are practical implications when the patient is subjected to endovascular interventions...in which the procedure may be made difficult by the anatomic variation and serious complications including arrhythmia and coronary sinus thrombosis have been reported."
Full text:
KG Lee, RY Tan, VA Chidambaram, SC Pang, CS Tan. Duplicate superior vena cava on arteriovenous fistulography. J Vasc Surg Venous Lymphat Disord 2017; 5:739.
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