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Persistent Levoatrial Cardinal Vein

Imaging findings

CT angiography shows a persistent vertical vein running lateral to the aortic arch, connecting the left atrium directly to the left brachiocephalic vein. Left-sided venous anatomy is otherwise normal.

Key takeaways

A persistent levoatrial cardinal vein is a rare congenital anomaly representing a venous channel connecting the left atrium or pulmonary veins to the systemic venous system. It acts as a left-to-right shunt and can simulate a persistent left SVC, but is anatomically distinct as it drains directly into the left atrium.

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