Infracardiac total anomalous pulmonary venous return

Case contributed by Dr Micheál Breen

Presentation

10 week old male patient presents with increased work of breathing.

Patient Data

Age: 10 weeks
Gender: Male

Mild cardiomegaly with right chamber enlargement. Increased pulmonary blood flow with mild pulmonary oedema.

Case Discussion

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.

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Case Information

rID: 25919
Case created: 15th Nov 2013
Last edited: 19th Nov 2015
Inclusion in quiz mode: Included

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