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Case Reports in Cardiology
Volume 2015, Article ID 921247, 5 pages
http://dx.doi.org/10.1155/2015/921247
Case Report

Raghib Syndrome Presenting as a Cryptogenic Stroke: Role of Cardiac MRI in Accurate Diagnosis

1Conemaugh Memorial Hospital/Temple University, USA
2Department of Cardiovascular Radiology, Northwestern University Feinberg School of Medicine, USA

Received 3 April 2015; Revised 15 May 2015; Accepted 19 May 2015

Academic Editor: Gianluca Pontone

Copyright © 2015 Vistasp J. Daruwalla et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Raghib Syndrome is a rare developmental complex, which consists of persistence of the left superior vena cava (PLSVC) along with coronary sinus ostial atresia and atrial septal defect. This Raghib complex anomaly has also been associated with other congenital malformations including ventricular septal defects, enlargement of the tricuspid annulus, and pulmonary stenosis. Our case demonstrates an isolated PLSVC draining into the left atrium along with coronary sinus atresia in a young patient presenting with cryptogenic stroke without the atrial septal defect. Majority of the cases reported in the literature were found to have the lesion during the postmortem evaluation or were characterized at angiography and/or echocardiography. We stress the importance of modern day imaging like the computed tomography (CT) angiography and cardiac MRI in diagnosis and surgical management of such rare lesions leading to cryptogenic strokes.