{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T20:10:39Z","timestamp":1784837439922,"version":"3.55.0"},"reference-count":14,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2026,7,18]],"date-time":"2026-07-18T00:00:00Z","timestamp":1784332800000},"content-version":"vor","delay-in-days":17,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,7,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Drainage of the left hepatic vein into the coronary sinus is an extremely rare anomaly reported in the literature. Typically, haemodynamics remain unimpaired in the absence of concomitant anomalies, and detection is expected to be incidental.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case summary<\/jats:title>\n                    <jats:p>We herein report a case of a 7-year-old male patient presenting with atypical chest pain, exertional dyspnoea, and mild congestive hepatomegaly, in whom a left hepatic vein draining into a dilated coronary sinus was detected. This anomaly was associated with a superior\u2013inferior type sinus venosus atrial septal defect, persistent left superior vena cava, and partial anomalous pulmonary venous return. Together, these defects created a significant left-to-right shunt, explaining the patient's symptomatic right ventricular strain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>This case underscores the diagnostic necessity of computed tomography angiography in evaluating complex venous anatomy and its clinical implications. Our findings demonstrate that when echocardiography fails to fully explain right-sided volume overload and atypical symptoms, advanced cross-sectional imaging is decisive for a comprehensive anatomical diagnosis and multidisciplinary surgical planning.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytag487","type":"journal-article","created":{"date-parts":[[2026,7,18]],"date-time":"2026-07-18T11:42:46Z","timestamp":1784374966000},"source":"Crossref","is-referenced-by-count":0,"title":["Coronary computed tomography angiography findings of anomalous left hepatic vein drainage into the coronary sinus with complex anomalies: a case report"],"prefix":"10.1093","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-3285-7805","authenticated-orcid":false,"given":"\u00d6mer Baran","family":"Yaman","sequence":"first","affiliation":[{"name":"Department of Radiology, Kayseri City Hospital , \u015eeker Mah. Muhsin Yaz\u0131c\u0131o\u011flu Bulvar\u0131 No:77, Kocasinan, Kayseri 38080 ,","place":["Turkiye"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-5791-4899","authenticated-orcid":false,"given":"Dursun Can","family":"Karaku\u015f","sequence":"additional","affiliation":[{"name":"Department of Radiology, Kayseri City Hospital , \u015eeker Mah. Muhsin Yaz\u0131c\u0131o\u011flu Bulvar\u0131 No:77, Kocasinan, Kayseri 38080 ,","place":["Turkiye"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4861-4058","authenticated-orcid":false,"given":"Turgut","family":"Seber","sequence":"additional","affiliation":[{"name":"Department of Radiology, Kayseri City Hospital , \u015eeker Mah. Muhsin Yaz\u0131c\u0131o\u011flu Bulvar\u0131 No:77, Kocasinan, Kayseri 38080 ,","place":["Turkiye"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,7,18]]},"reference":[{"key":"2026072315363596200_ytag487-B1","doi-asserted-by":"crossref","first-page":"1256","DOI":"10.1007\/s00246-011-0063-0","article-title":"Anomalous hepatic vein draining into the coronary sinus","volume":"32","author":"Vuran","year":"2011","journal-title":"Pediatr Cardiol"},{"key":"2026072315363596200_ytag487-B2","first-page":"49","article-title":"Anomalous connection of the left hepatic vein to coronary sinus in a child with PAPVD. Surgical significance and diagnostic difficulties","volume":"13","author":"Karolczak","year":"2016","journal-title":"Kardiochir Torakochirurgia Pol"},{"key":"2026072315363596200_ytag487-B3","doi-asserted-by":"crossref","first-page":"987","DOI":"10.1002\/ca.22257","article-title":"Anomalous left hepatic vein draining into coronary sinus imaged with multidetector computed tomography","volume":"26","author":"Lee","year":"2013","journal-title":"Clin Anat"},{"key":"2026072315363596200_ytag487-B4","doi-asserted-by":"crossref","first-page":"120","DOI":"10.1007\/s00268-011-1297-y","article-title":"Anatomical variations of hepatic veins: three-dimensional computed tomography scans of 200 subjects","volume":"36","author":"Fang","year":"2012","journal-title":"World J Surg"},{"key":"2026072315363596200_ytag487-B5","doi-asserted-by":"crossref","first-page":"243","DOI":"10.1055\/s-0031-1284204","article-title":"Left hepatic vein and persistent left superior vena cava drainage into the coronary sinus with subaortic valve stenosis","volume":"20","author":"Buehler","year":"2011","journal-title":"Int J Angiol"},{"key":"2026072315363596200_ytag487-B6","doi-asserted-by":"crossref","first-page":"4390","DOI":"10.1111\/jocs.15906","article-title":"Anomalous left hepatic vein to coronary sinus in a patient with atrial septal defect: minimally invasive approach; technical challenges","volume":"36","author":"Rao","year":"2021","journal-title":"J Card Surg"},{"key":"2026072315363596200_ytag487-B7","doi-asserted-by":"crossref","first-page":"817","DOI":"10.1111\/jocs.12645","article-title":"Drainage of the left hepatic vein into the coronary sinus, a rare intraoperative finding","volume":"30","author":"Morshuis","year":"2015","journal-title":"J Card Surg"},{"key":"2026072315363596200_ytag487-B8","doi-asserted-by":"crossref","first-page":"369","DOI":"10.1258\/phleb.2012.011156","article-title":"Duplication of the superior vena cava associated with atrial termination of the left hepatic vein","volume":"28","author":"Milisavljevic","year":"2013","journal-title":"Phlebology"},{"key":"2026072315363596200_ytag487-B9","article-title":"Isolated left hepatic vein draining into the coronary sinus: a rare anomaly encountered during mitral valve surgery","volume":"7","author":"Suzuki","year":"2023","journal-title":"Eur Heart J Case Rep"},{"key":"2026072315363596200_ytag487-B10","article-title":"Sinus venosus atrial septal defect as an overlooked source of shortness of breath among patients with pulmonary arterial hypertension","volume":"16","author":"Vicenty-Rivera","year":"2024","journal-title":"Cureus"},{"key":"2026072315363596200_ytag487-B11","doi-asserted-by":"crossref","first-page":"S2837","DOI":"10.21037\/jtd.2018.02.18","article-title":"Anatomy of the atrial septum and interatrial communications","volume":"10","author":"Naqvi","year":"2018","journal-title":"J Thorac Dis"},{"key":"2026072315363596200_ytag487-B12","doi-asserted-by":"crossref","first-page":"110","DOI":"10.1186\/s13244-020-00906-2","article-title":"Persistent left superior vena cava: clinical importance and differential diagnoses","volume":"11","author":"Azizova","year":"2020","journal-title":"Insights Imaging"},{"key":"2026072315363596200_ytag487-B13","doi-asserted-by":"crossref","first-page":"317","DOI":"10.1161\/01.CIR.33.2.317","article-title":"Congenital anomalies involving the coronary sinus","volume":"33","author":"Mantini","year":"1966","journal-title":"Circulation"},{"key":"2026072315363596200_ytag487-B14","doi-asserted-by":"crossref","first-page":"e1","DOI":"10.5830\/CVJA-2016-084","article-title":"Persistent left superior vena cava","volume":"28","author":"Tyrak","year":"2017","journal-title":"Cardiovasc J Afr"}],"container-title":["European Heart Journal - Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ehjcr\/advance-article-pdf\/doi\/10.1093\/ehjcr\/ytag487\/69289473\/ytag487.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ehjcr\/article-pdf\/10\/7\/ytag487\/69289473\/ytag487.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ehjcr\/article-pdf\/10\/7\/ytag487\/69289473\/ytag487.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T19:36:47Z","timestamp":1784835407000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ehjcr\/article\/doi\/10.1093\/ehjcr\/ytag487\/8737217"}},"subtitle":[],"editor":[{"given":"Raheel","family":"Ahmed","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]},{"given":"Mattia","family":"Alberti","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]},{"given":"Yasmina","family":"Bououdina","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]},{"given":"Deepti","family":"Ranganathan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":14,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2026,7,2]]}},"URL":"https:\/\/doi.org\/10.1093\/ehjcr\/ytag487","relation":{},"ISSN":["2514-2119"],"issn-type":[{"value":"2514-2119","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,7]]},"published":{"date-parts":[[2026,7]]},"article-number":"ytag487"}}