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CC BY-NC-ND 4.0 · Thorac Cardiovasc Surg Rep 2017; 06(01): e35-e36
DOI: 10.1055/s-0037-1608622
Case Report: Cardiac
Georg Thieme Verlag KG Stuttgart · New York

Posterior Nutcracker Phenomenon in a Patient with Left Atrial Isomerism

Stanislav Tsvelodub
1   Department of Cardiac and Thoracic Vascular Surgery, University of Luebeck, Luebeck, Germany
,
Léon M. Putman
1   Department of Cardiac and Thoracic Vascular Surgery, University of Luebeck, Luebeck, Germany
,
Andrea Gieselmann
2   Department of Pediatric Cardiology, Asklepios Children's Hospital Sankt Augustin, Sankt Augustin, Germany
,
Hans-Hinrich Sievers
1   Department of Cardiac and Thoracic Vascular Surgery, University of Luebeck, Luebeck, Germany
› Author Affiliations
Further Information

Publication History

27 July 2017

26 September 2017

Publication Date:
12 November 2017 (online)

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Abstract

Background Nutcracker phenomenon (NCP) can occur due to various anatomical anomalies. Anterior and posterior NCP are defined in the literature. Posterior NCP combined with left atrial isomerism is a rare condition.

Case description We present a rare case of an asymptomatic posterior NCP involving the azygos vein in a patient with a complex cardiovascular pathology with left atrial isomerism, left ventricular outflow tract obstruction, interrupted inferior vena cava, and azygos continuation.

Conclusion Detection of the NCP especially involving such a rare anatomical anomaly as an azygos continuation has a crucial importance for diagnostic and surgical procedures.

Keywords

congenital heart disease - magnetic resonance imaging - pediatric - cardiovascular surgery

Ethical Approval

This article does not contain any studies with human participants performed by any of the authors.


Informed Consent

Informed consent was waived off because this study included no personal information about the patient.


 

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