PT  - JOURNAL ARTICLE
AU  - Nina Dhillon
AU  - Shravan Nosib
TI  - Unique triad of shunts in a patient with paroxysmal palpitations!
AID  - 10.1136/bcr-2021-242941
DP  - 2021 Jul 01
TA  - BMJ Case Reports
PG  - e242941
VI  - 14
IP  - 7
4099  - http://casereports.bmj.com/content/14/7/e242941.short
4100  - http://casereports.bmj.com/content/14/7/e242941.full
SO  - BMJ Case Reports2021 Jul 01; 14
AB  - 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.