Case Report

Bilateral Absence of the Superior Vena Cava

Table 1

Summary of the case reports published on bilateral absence of the superior vena cava (SVC).

AuthorYearAge at diagnosis; genderSymptomsDiagnostic examinationIntracardiac malformations Other

Hussain et al. [2]198182 years; femaleDiagnosed during transvenous pacemaker placement (complete atrioventricular
block)
Venography

No
Possibility of communication with intrahepatic circulation and formation of esophageal and gastric varices was also evident
Del Ojo et al. [3]199981 years; maleDiagnosed during transvenous pacemaker placement (complete atrioventricular block)VenographyNoSuperficial varicose vein circulation at abdominal thoracic level
Saunders et al. [4]200125 years; femaleMild dyspnea on exertionMRI
Venography
Exploratory median sternotomy
No
Minniti et al. [5]2002NANACT
Venography
NA
Krasemann et al. [6]20033 months; maleClinical signs of TOFCatheterization
Venography
Operation
TOFIVC also anomalous with an inferior part of the IVC on left side of the spine
Lee et al. [7]2005One week; femaleFacial and upper trunk edema
Respiratory distress
Chylothorax
Echocardiography
CT
Venography
Right atrium
cardiography
NoSevere SVC dysplasia with multiple segments of stenosis at the SCV Symptoms persisting more than 6 months despite chylothorax improvement
Akai et al. [8]200628 years; maleNoCT
MRI
No
Römer et al. [9]2006Prenatally at gestation week 24 + 5; maleRespiratory distress
Chylothorax
Echocardiography
MRI angiography
Type II and sinus venosus ASDSymptoms resolved after pleural puncture
Ou et al. [10]200714 months; maleCardiac murmurEchocardiography
CT
No
Quraishi et al. [11] 201059 years; maleDiagnosed during electrophysiological
evaluation (WPW syndrome)
Venography
CT angiography
NoAbsence of hepatic segment of the IVC with azygos continuation

ASD: atrial septal defect; IVC: inferior vena cava; NA: not available; TOF: tetralogy of Fallot; WPW: Wolff-Parkinson-White.