RT Journal Article SR Electronic T1 Two cases of left superior vena cava draining directly to a left atrium with a normal coronary sinus. JF British Heart Journal JO Heart FD BMJ Publishing Group Ltd and British Cardiovascular Society SP 158 OP 160 DO 10.1136/hrt.65.3.158 VO 65 IS 3 A1 H B Wiles YR 1991 UL http://heart.bmj.com/content/65/3/158.abstract AB The most common variation in the thoracic systemic venous system is a persistent left superior vena cava draining to a coronary sinus. A rare anomaly is a persistent left superior vena cava connecting directly to the left atrium. In this situation it is believed that the coronary sinus must be absent. This report describes two cases of a persistent left superior vena cava draining to a left atrium with a normal coronary sinus.