Surgery for tricuspid regurgitation in a case of anomalous systemic venous return

Koki Eto, Yasuhiro Kotani, Yasuyuki Kobayashi, Daichi Edaki, Shingo Kasahara, Zen-ichi Masuda

Research output: Contribution to journalArticlepeer-review

2 Citations (Scopus)


A 75-year-old woman presented with severe tricuspid regurgitation requiring surgical repair. She had extremely rare anomalies in systemic venous return in spite of situs solitus: persistent left superior vena cava with absent right superior vena cava, infrahepatic inferior vena cava interruption, and hemiazygos continuation to a persistent left superior vena cava. These unusual systemic venous anomalies had significantly enlarged the coronary sinus, and the stretched coronary sinus orifice changed the geometry of the tricuspid annulus and triggered tricuspid regurgitation. There were technical difficulties in establishing cardiopulmonary bypass and achieving successful tricuspid valve repair.

Original languageEnglish
Pages (from-to)227-230
Number of pages4
JournalAsian Cardiovascular and Thoracic Annals
Issue number3
Publication statusPublished - Mar 1 2018


  • Abnormalities
  • Heart atria
  • Heart defects
  • Tricuspid valve insufficiency
  • Vena cava
  • congenital
  • multiple
  • superior

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine


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