Infracardiac total anomalous pulmonary venous return

Case contributed by Micheál Anthony Breen , 15 Nov 2013
Diagnosis certain
Changed by Mostafa Elfeky, 28 May 2021

Updates to Study Attributes

Findings was changed:

Mild cardiomegaly with right chamber enlargementupturned cardiac apex. Increased pulmonary blood flow with mildpulmonary venous congestion and diffuse prominence of the pulmonary oedemainterstitium. Trace right pleural effusion.

Loss of the anterior clear space in keeping with right heart enlargement.

Images Changes:

Image X-ray (Frontal) ( update )

Description was removed:
Mild cardiomegaly with upturned cardiac apex. Increased pulmonary blood flow with pulmonary venous congestion and diffuse prominence of the pulmonary interstitium. Trace right pleural effusion.

Image X-ray (Lateral) ( update )

Description was removed:
Loss of the anterior clear space in keeping with right heart enlargement.

Updates to Case Attributes

Body was changed:

Echocardiogram confirmed a diagnosis of infracardiac TAPVR.

When assessing a chest radiograph in suspected congenital heart disease, there are two important questions to ask before forming a differential diagnosis:

  1. Is the child cyanotic or acyanotic?
  2. Is there increased or decreased pulmonary blood flow on chest x-ray?

This helps the radiologist formulate a differential diagnosis that should correlate with the echocardiographic findings.

  • -<p>Echocardiogram confirmed a diagnosis of infracardiac TAPVR.</p><p>When assessing a chest radiograph in suspected congenital heart disease, there are two important questions to ask before forming a differential diagnosis:</p><ol>
  • +<p>Echocardiogram confirmed a diagnosis of infracardiac <a title="TAPVR" href="/articles/total-anomalous-pulmonary-venous-return">TAPVR</a>.</p><p>When assessing a chest radiograph in suspected congenital heart disease, there are two important questions to ask before forming a differential diagnosis:</p><ol>

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