CASE 1
An 11-year-old male adolescent He applied to the pediatric cardiology
outpatient clinic in order to obtain a health report for participation
in sports activities. No cardiac pathological finding was detected
during the physical examination of the patient. Transthoracic
echocardiography showed (TTE ) a pattern of flow towards innominate
vein, that was not appropriate for the pulmonary vein and other cardiac
structural structures were normal. Computed tomography (CT) was
performed for further evaluation of the anomalous communication between
innominate vein and left atrium. Computed tomography clearly demonsrated
an anomalous vessel joining the innominate vein and the left atrium(Fig 1 ). Catheter anjıography was performed. During angiopraphy
when a radiopaque contrast agent was administered to the innominate
vein, it was observed that the solution filled the LACV first and then
the left atrium (Fig 2 ). Initially, closure of the patient was
attempted with a vascular plate, but the closure procedure was
unsuccessful. Therefore, LACV ligation was applied to the patient
surgically. The patient is currently being followed up without any
problem.