Authors

Ali Alakhfash, Consultant Pediatric Cardiologist, Pediatric Cardiology department, Prince Sultan Cardiac Center-Qassim, Qassim Health Cluster, Kingdome of Saudi ArabiaFollow
Osama Alrusaini, Consultant Pediatric Cardiologist, Pediatric Cardiology department, Prince Sultan Cardiac Center-Qassim, Qassim Health Cluster, Kingdome of Saudi Arabia
Fahad Alhabshan, Consultant Pediatric Cardiologist, King Abdulaziz Cardiac Center, National Guard Health Affairs, Kingdome of Saudi Arabia
Khaled Alhawri, Consultant Pediatric Cardiac surgeon, Pediatric Cardiology department, Prince Sultan Cardiac Center-Qassim, Qassim Health Cluster, Kingdome of Saudi Arabia
Abdulrahman Almesned, Consultant Pediatric Cardiologist, Pediatric Cardiology department, Prince Sultan Cardiac Center-Qassim, Qassim Health Cluster, Kingdome of Saudi Arabia.

Retrocardiac Innominate Vein: A Rare Vascular Anomaly Associated with Congenital Heart Disease

Abstract

Atrial septal defects are common congenital heart anomalies and may coexist with rare systemic venous abnormalities. We describe a one-year-old female with a large secundum atrial septal defect and an unusual retrocardiac innominate vein. Transthoracic echocardiography suggested a persistent left superior vena cava, but the innominate vein was absent from its usual location and the coronary sinus was not dilated. Cardiac CT angiography demonstrated a retrocardiac innominate vein draining into the azygos system and subsequently to the right atrium. Surgical atrial septal defect closure was successful. Recognition of this anomaly is essential for accurate diagnosis and procedural planning.

Recommended Citation

Alakhfash, Ali; Alrusaini, Osama; Alhabshan, Fahad; Alhawri, Khaled; and Almesned, Abdulrahman (2026) "Retrocardiac Innominate Vein: A Rare Vascular Anomaly Associated with Congenital Heart Disease," Journal of the Saudi Heart Association: Vol. 38 : Iss. 1 , Article 9.
Available at: https://doi.org/10.37616/2212-5043.1484

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