Shamsa Al Kaabi, Madan Mohan Maddali, Salim Nasser Al Maskari, Halima Adam Al-Hashm, Abdullah Mohammed Al Farqani, Robert Henry Anderson, Justin T Tretter
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Systemic venous anomalies in a child with a vein of Galen.
We describe our findings in a child with a vein of Galen malformation, in whom the right superior caval and the azygos veins drained into the roof of the morphologically left atrium. A persistent left superior caval vein drained into the morphologically right atrium through the coronary sinus. The additional presence of dual brachiocephalic veins permitted the deployment of a multifunctional ventricular septal defect occluder device to occlude the right superior caval vein, correcting the right-to-left shunt. This also prevented azygos venous drainage into the left atrium.