Evidence map›Paper›PMID 41602351›Full record

ArticleFrontiers in cardiovascular medicine2025

Inferior vena cava anomalous drainage into the left atrium with severe pulmonary arterial hypertension: a case report and review of management strategies.

Lei Yang, Lishi Shao, Feifei Zhou, Yongju Yang, Guifang Sun, Bin Liu

Abstract readCase Reports
In one paragraph

Article in Frontiers in cardiovascular medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Lei YangDepartment of Radiology, Yan'an Hospital Affiliated to Kunming Medical University, Kunming, China.
Lishi ShaoDepartment of Radiology, Yan'an Hospital Affiliated to Kunming Medical University, Kunming, China.
Feifei ZhouDepartment of Radiology, Yan'an Hospital Affiliated to Kunming Medical University, Kunming, China.
Yongju YangDepartment of Radiology, Yan'an Hospital Affiliated to Kunming Medical University, Kunming, China.
Guifang SunDepartment of Radiology, Yan'an Hospital Affiliated to Kunming Medical University, Kunming, China.
Bin LiuDepartment of Radiology, Yan'an Hospital Affiliated to Kunming Medical University, Kunming, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Anomalous drainage of the inferior vena cava (IVC) into the left atrium is a rare congenital anomaly seldom associated with pulmonary arterial hypertension (PAH). This condition may correlate with atrial septal defect (ASD), pulmonary arteriovenous fistula, and chronic hypoxemia. We present a case of a 34-year-old female admitted with recurrent chest tightness, dyspnea, and palpitations. Comprehensive evaluations, including transthoracic echocardiography, computed tomography angiography, and right heart catheterization, confirmed the diagnosis of IVC anomalous drainage into the left atrium complicated by ASD (about 3 cm), right inferior pulmonary vein anomalous drainage into the inferior vena cava, and severe PAH. Following multidisciplinary consultation, a combined "treat and repair" strategy was adopted, initiating targeted PAH therapy with ambrisentan and sildenafil. At the 3-month follow-up, the patient reported significant symptomatic improvement, resumed daily physical activities without cardiorespiratory discomfort, PASP decreased from 146 mmHg to 127 mmHg and demonstrated enhanced functional capacity. This case highlights the diagnostic challenges and therapeutic considerations for IVC anomalies associated with PH, contributing novel insights to the management of complex congenital cardiovascular disorders.

Indexed as

anomalous drainagecase reportinferior vena cavaleft atriumpulmonary arterial hypertension

Identifiers

PMID41602351
PMCPMC12833240

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.