Infracardiac total anomalous pulmonary venous return
10 week old male patient presents with increased work of breathing.
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Mild cardiomegaly with right chamber enlargement. Increased pulmonary blood flow with mild pulmonary oedema.
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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:
- Is the child cyanotic or acyanotic?
- 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.
- 1. Grifka RG. Cyanotic congenital heart disease with increased pulmonary blood flow. Pediatr. Clin. North Am. 1999;46 (2): 405-25. Pubmed citation