Anomalous connection of the left upper pulmonary vein to the vertical vein: an uncommon diagnosis unveiled by suprasternal notch imaging

A 34-year-old man came to our adult congenital heart disease centre after duplicate superior vena cava (SVC) was incidentally found on chest computed tomography performed for testicular leiomyosarcoma staging. He was asymptomatic. Examination revealed a grade 1/6 ejection murmur at the left upper sternal border. Electrocardiogram and chest X-ray were normal. Transthoracic echocardiography revealed a dilated right atrium (area …