Abstract
The superior left vena cava represents a rare anomaly, which in most cases is asymptomatic. This anomaly results when the left anterior cardinal vein fails to regress. Surgery for anomalous systemic venous drainage in congenital heart disease surgery is not uncommon. However, very few cases of combination of this anomaly with acquired valve disease have been described in the literature and are of surgical interest. In such situations, surgical treatment and cannulation strategy for vena cava have certain peculiarities. We present a case of surgical treatment of mitral valve insufficiency in a patient with superior left vena cava and absence of hepatic segment of inferior vena cava in a normally formed heart. Mitral valve replacement with a mechanical prosthesis with preservation of subvalvular apparatus of the posterior mitral leaflet under conditions of hypothermia and pharmaco-cold cardioplegia was performed. The case demonstrates the importance of careful preoperative diagnosis for successful surgical treatment of patients with acquired heart disease.
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About the authors
- Vladimir A. Mironenko, Dr. Med. Sci., Professor, Cardiovascular Surgeon, Head of the Department; ORCID
- Sergey V. Rychin, Dr. Med. Sci., Professor, Cardiovascular Surgeon, Head of the Department; ORCID
- Murat B. Kokoev, Cand. Med. Sci., Cardiovascular Surgeon, Researcher of Department of reconstructive surgery and aortic root; ORCID
- Selim R. Gadzhimuradov, Cardiovascular Surgeon, Researcher; ORCID
- Tseren V. Badmaev, Cardiovascular Surgeon, Researcher; ORCID
