Article Text
Summary
Total anomalous pulmonary venous return (TAPVR) is a rare congenital heart defect, and patients are usually symptomatic at a very young age. Survival to adulthood without surgical correction is extremely rare. We report a 33-year-old woman with a heart murmur and a history of a successful pregnancy. Echocardiogram revealed a large atrial septal defect with suspicious pulmonary vein anomaly. Chest radiograph demonstrated classical ‘snowman’ configuration. Cardiac catheterisation was consistent with anomalous pulmonary venous drainage. Cardiac CT confirmed supracardiac TAPVR, whereby all the pulmonary veins drain into the anomalous vein and finally to the superior vena cava. She remained asymptomatic and underwent a successful surgical repair.
- radiology
- cardiovascular medicine
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Footnotes
Contributors The completion of this undertaking could not have been possible without the participation and assistance of all the authors. NT and KAS planned, conducted, reported and reconstructed the images and confirmed the correct diagnosis. MRMZ had provided important information from the physician’s perspective including the findings on angiography study.
Competing interests None declared.
Patient consent Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.
Presented at This case report had won second place in poster presentation during the 21st National Conference on Medical and Health Sciences (17-18 October 2016) held in School of Dental Sciences, Health Campus, Universiti Sains Malaysia, Kelantan, Malaysia.