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Unusual Venacaval Anomalies in a Patient with Atrial Septal Defect

Departments of Cardiology and Cardiothoracic Surgery, Nizam’s Institute of Medical Sciences, Hyderabad, India

For reprint information contact: Sai S Oruganti, DM, Tel: 91 40 2339 6538, Fax: 91 40 23300176, Email: osaisatish{at}yahoo.com, Nizam’s Institute of Medical Sciences, Hyderabad-500 082, Andhra Pradesh, India.

An unusual systemic venous drainage pattern was found in a 30-year-old man with ostium secundum atrial septal defect and pulmonary stenosis. He had the rare association of absent right superior vena cava, persistent left superior vena cava draining into the coronary sinus, and a left-sided inferior vena cava draining into a left superior vena cava through the hemiazygous vein.