Aluja Jaramillo F, Hernandez C, Garzón JP, Sánchez Herrera AP, Velasco Morales ML. Infracardiac type total anomalous pulmonary venous return with obstruction and dilatation of portal vein.
Radiol Case Rep 2017;
12:229-232. [PMID:
28491157 PMCID:
PMC5417730 DOI:
10.1016/j.radcr.2017.01.010]
[Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2016] [Revised: 01/03/2017] [Accepted: 01/13/2017] [Indexed: 11/29/2022] Open
Abstract
Total anomalous pulmonary venous return (TAPVR), also known as total anomalous pulmonary venous connection, is a congenital cardiovascular malformation that presents itself in the neonatal period, with cyanosis and tachypnea. There are 4 types of TAPVR with the mixed type being the least common. Any type of TAPVR may be associated with obstruction as result of flow redirection through the liver parenchyma before it may return to the heart, but infracardiac is the most common one.
We report a case of a 10-hour-old female, with a mixed (cardiac and infracardiac) TAVPR with obstruction, that showed drainage to the coronary sinus and the portal vein, as the other classic findings in TAVPR, made with computed tomography angiography and echocardiogram. The patient was taken to surgical repair, but unfortunately died during the procedure because of multiple complications.
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