TY - JOUR T1 - Unique triad of shunts in a patient with paroxysmal palpitations! JF - BMJ Case Reports JO - BMJ Case Reports DO - 10.1136/bcr-2021-242941 VL - 14 IS - 7 SP - e242941 AU - Nina Dhillon AU - Shravan Nosib Y1 - 2021/07/01 UR - http://casereports.bmj.com/content/14/7/e242941.abstract N2 - We present the case of a 34-year-old woman with a rare constellation of congenital cardiovascular defects. She presented with new-onset dyspnoea on exertion and intermittent palpitations. Extensive cardiac workup revealed anomalous drainage of the inferior vena cava and a large secundum atrial septal defect. She underwent surgical repair. Intraoperatively, an additional congenital venous anomaly was discovered, a partial anomalous pulmonary venous connection. Specifically, the right inferior pulmonary vein connected to the inferior vena cava, and together, they drained into the left atrium. On conducting a thorough literature review, we believe this is the first reported case in an adult female. ER -