CTICasesPartial Anomalous Hepatic Venous Connection to the Coronary Sinus
Imaging findings
CT angiography shows an anomalous hepatic vein draining directly into the coronary sinus via the phrenic vein, resulting in marked dilatation of the coronary sinus complex without an associated left-to-right shunt.
Key takeaways
Partial anomalous hepatic venous connection is a rare congenital systemic venous anomaly. When hepatic veins drain anomalously into the coronary sinus, it causes coronary sinus dilatation, which must be distinguished from persistent left SVC.
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