RSS-Feed abonnieren
PDF herunterladen
DOI: 10.1055/s-0044-1787684
Total Anomalous Pulmonary Venous Connection with Rare Direct Right Atrial Drainage and Unprecedented Array of Coexistent Multisystem Variations
Funding None.
Abstract
Total anomalous pulmonary venous connection (TAPVC) is anomalous drainage of all pulmonary veins into systemic circulation. The intracardiac type typically entails the drainage of all the pulmonary veins into the right atrium, via the coronary sinus. The connection of the pulmonary veins directly into the right atrium is exceptionally rare and has been primarily reported with right atrial isomerism. Herein, we presented a remarkable case of TAPVC in a 10-year-old male child, distinguished by an unconventional drainage of all the pulmonary veins directly into the right atrium, with normal coronary sinus and absent right atrial isomerism. Intriguingly, computed tomography imaging revealed a combination of incredibly rare coexistent pulmonary, vascular, and skeletal anomalies. These anomalies included absence of pulmonary fissures in the right lung, presence of left circumflex aortic arch with bovine branching pattern, bilateral cervical ribs, and C7 vertebral fusion anomalies. To our knowledge, this unique combination of coexistent anomalies has not been previously reported in scientific literature in the background of rare drainage pattern of TAPVC.
* Contributed equally with the first author and shares the first authorship.
Publikationsverlauf
Artikel online veröffentlicht:
18. Juni 2024
© 2024. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India
-
References
- 1 Seale AN, Uemura H, Webber SA. et al; British Congenital Cardiac Association. Total anomalous pulmonary venous connection: morphology and outcome from an international population-based study. Circulation 2010; 122 (25) 2718-2726
- 2 Hoffman JI, Kaplan S, Liberthson RR. Prevalence of congenital heart disease. Am Heart J 2004; 147 (03) 425-439
- 3 Reller MD, Strickland MJ, Riehle-Colarusso T, Mahle WT, Correa A. Prevalence of congenital heart defects in metropolitan Atlanta, 1998-2005. J Pediatr 2008; 153 (06) 807-813
- 4 Ussiri EV, Nyawawa ET, Mannam GC. et al. Patterns of anomalous pulmonary venous connection as seen at Care Hospital, Hyderabad-India. East Cent Afr J Surg 2007; 12 (02) 18-22
- 5 Kanter KR. Surgical repair of total anomalous pulmonary venous connection. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu 2006; 9 (01) 40-44
- 6 Shi G, Zhu F, Wen C. et al. Cardiac-type total anomalous pulmonary venous return is not benign. . J Thorac Cardiovasc Surg 2022
- 7 Singh N, Singh R, Aga P, Singh SK. Cardiac type of total anomalous pulmonary venous connection: diagnosis and demonstration by multidetector CT angiography. BMJ Case Rep 2013; 2013: bcr2012007994
- 8 Gopalakrishnan A, Subramanian V, Sasidharan B. et al. A rare variant of intracardiac total anomalous pulmonary venous connection. Rev Port Cardiol 2017; 36 (11) 869.e1-869.e4
- 9 Priya S, Thomas R, Nagpal P, Sharma A, Steigner M. Congenital anomalies of the aortic arch. Cardiovasc Diagn Ther 2018; 8 (Suppl. 01) S26-S44
- 10 Mulia EPB, Rahman MA. Treatment considerations in total anomalous pulmonary venous connection. . Proc Singap Healthc 2023;32;
- 11 Kottayil BP, Dharan BS, Menon S. et al. Anomalous pulmonary venous connection to superior vena cava: Warden technique. Eur J Cardiothorac Surg 2011; 39 (03) 388-391