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Persistent left with absent right superior vena cava
  1. Wai-ee Thai,
  2. John Gelman
  1. Monash Medical Centre, Clayton, Australia
  1. Correspondence to Dr John Gelman, 246 Clayton Road, Level2, MonashHeart Clayton, Clayton VIC 3168, Australia; jgelman{at}

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A patient with fever of unknown origin was transferred from a peripheral hospital for transoesophageal echocardiography (TOE) to exclude infective endocarditis. No vegetations were identified; however, a large coronary sinus (CS, 3.5 cm) was noted (panel A and video 1). Persistent left-sided superior vena cava (SVC) was confirmed following agitated saline contrast injection into the left antecubital vein …

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  • Competing interests None.

  • Provenance and peer review Not commissioned; not externally peer reviewed.