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High prevalence rate of left superior vena cava determined by echocardiography in patients with congenital heart disease in Saudi Arabia

Eldin, Ghada Shiekh ; El-Segaier, Milad LU and Galal, Mohammed Omer (2013) In Libyan Journal of Medicine 8.
Abstract
Background: Persistent left superior vena cava (LSVC) is one of the common anomalies of the systemic veins. Its prevalence is 0.1-0.3% in the general population and is more common with congenital heart disease (CHD). The importance of detecting persistent LSVC prior to cardiac surgery is paramount for systemic veins cannulations. Aim: The aim was to evaluate the prevalence of persistent LSVC in patients with CHD in Saudi Arabia. Methods: All patients referred to our institution had echocardiography. All complete studies were reviewed for the presence of persistent LSVC. A computerized database was created including the demographic data, CHD diagnoses, and the presence of persistent LSVC. Results: A total of 2,042 were examined with an age... (More)
Background: Persistent left superior vena cava (LSVC) is one of the common anomalies of the systemic veins. Its prevalence is 0.1-0.3% in the general population and is more common with congenital heart disease (CHD). The importance of detecting persistent LSVC prior to cardiac surgery is paramount for systemic veins cannulations. Aim: The aim was to evaluate the prevalence of persistent LSVC in patients with CHD in Saudi Arabia. Methods: All patients referred to our institution had echocardiography. All complete studies were reviewed for the presence of persistent LSVC. A computerized database was created including the demographic data, CHD diagnoses, and the presence of persistent LSVC. Results: A total of 2,042 were examined with an age range of 1 day to 16 years. The complete echocardiographic studies were 1,832 (90%) of whom 738 (40%) patients had CHD. The prevalence of persistent LSVC in patients with CHD was 7.8% (OR 9.26, 95% CI 4.7-18.2, p <0.001). The most common cardiac defect associated with persistent LSVC was complete atrioventricular septal defect (AVSD); all patients with AVSD had Down syndrome. The total number of patients with AVSD was 41, and persistent LSVC was found in 11 (26%) of them (odds ratio 5.1, 95% CI 2.4-10.8, p <0.001). Conclusions: The prevalence of persistent LSVC in the current population is almost double the reported prevalence obtained using the same echocardiographic screening tool. (Less)
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author
; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
left superior vena cava, Down syndrome, atrioventricular septal defect, congenital heart disease
in
Libyan Journal of Medicine
volume
8
article number
21679
publisher
Univ Alfateh, Fac Med
external identifiers
  • wos:000325548700001
  • scopus:84885644847
ISSN
1993-2820
DOI
10.3402/ljm.v8i0.21679
language
English
LU publication?
yes
id
7f4afb24-62f0-422d-a292-8d35837b1b88 (old id 4171593)
date added to LUP
2016-04-01 10:52:51
date last changed
2022-01-26 03:23:29
@article{7f4afb24-62f0-422d-a292-8d35837b1b88,
  abstract     = {{Background: Persistent left superior vena cava (LSVC) is one of the common anomalies of the systemic veins. Its prevalence is 0.1-0.3% in the general population and is more common with congenital heart disease (CHD). The importance of detecting persistent LSVC prior to cardiac surgery is paramount for systemic veins cannulations. Aim: The aim was to evaluate the prevalence of persistent LSVC in patients with CHD in Saudi Arabia. Methods: All patients referred to our institution had echocardiography. All complete studies were reviewed for the presence of persistent LSVC. A computerized database was created including the demographic data, CHD diagnoses, and the presence of persistent LSVC. Results: A total of 2,042 were examined with an age range of 1 day to 16 years. The complete echocardiographic studies were 1,832 (90%) of whom 738 (40%) patients had CHD. The prevalence of persistent LSVC in patients with CHD was 7.8% (OR 9.26, 95% CI 4.7-18.2, p &lt;0.001). The most common cardiac defect associated with persistent LSVC was complete atrioventricular septal defect (AVSD); all patients with AVSD had Down syndrome. The total number of patients with AVSD was 41, and persistent LSVC was found in 11 (26%) of them (odds ratio 5.1, 95% CI 2.4-10.8, p &lt;0.001). Conclusions: The prevalence of persistent LSVC in the current population is almost double the reported prevalence obtained using the same echocardiographic screening tool.}},
  author       = {{Eldin, Ghada Shiekh and El-Segaier, Milad and Galal, Mohammed Omer}},
  issn         = {{1993-2820}},
  keywords     = {{left superior vena cava; Down syndrome; atrioventricular septal defect; congenital heart disease}},
  language     = {{eng}},
  publisher    = {{Univ Alfateh, Fac Med}},
  series       = {{Libyan Journal of Medicine}},
  title        = {{High prevalence rate of left superior vena cava determined by echocardiography in patients with congenital heart disease in Saudi Arabia}},
  url          = {{https://lup.lub.lu.se/search/files/2206145/4431953.pdf}},
  doi          = {{10.3402/ljm.v8i0.21679}},
  volume       = {{8}},
  year         = {{2013}},
}