Persistent Left Superior Vena Cava with Unusual Drainage

 Sanjana Shah   Abhisheik Prashar   Victar Hsieh   George Youssef   Walid Matar   Queenie Lo

Abstract

We present the case of an unusual drainage pattern involving a Persistent Left Superior Vena Cava (PLSVC) in a patient who presented with a bi-hemispheric stroke for investigation. This case report highlights a less common drainage pattern of PLSVC into the left atrium, which has implications for a number of clinical scenarios including investigation for possible source of systemic embolic phenomena and procedures requiring central venous catheterisation. We also illustrate the utility of echocardiography and other non-invasive imaging modalities in the diagnosis of this anomaly.