Coronary Computed Tomography Angiography Findings of Anomalous Left Hepatic Vein Drainage into the Coronary Sinus with Complex Anomalies: A Case Report

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ID: 321549
2026
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Abstract
Abstract Background Drainage of the left hepatic vein (LHV) into the coronary sinus (CS) is an extremely rare anomaly reported in the literature. Typically, hemodynamics remain unimpaired in the absence of concomitant anomalies, and detection is expected to be incidental. Case Summary We herein report a case of a 7-year-old male patient presenting with atypical chest pain, exertional dyspnea, and mild congestive hepatomegaly, in whom a left hepatic vein draining into a dilated coronary sinus was detected. This anomaly was associated with a superior-inferior type sinus venosus atrial septal defect (ASD), persistent left superior vena cava (PLSVC), and partial anomalous pulmonary venous return. Together, these defects created a significant left-to-right shunt, explaining the patient's symptomatic right ventricular strain. Discussion This case underscores the diagnostic necessity of computed tomography angiography in evaluating complex venous anatomy and its clinical implications. Our findings demonstrate that when echocardiography fails to fully explain right-sided volume overload and atypical symptoms, advanced cross-sectional imaging is decisive for a comprehensive anatomical diagnosis and multidisciplinary surgical planning.
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openalex_W7169686193 Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Ömer Baran Yaman, Dursun Can Karakuş, Turgut Seber
Journal European Heart Journal - Case Reports
Year 2026
DOI
10.1093/ehjcr/ytag487
URL
https://doi.org/10.1093/ehjcr/ytag487
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