Total anomalous pulmonary venous return (type II)

Case contributed by Vincent Tatco , 6 Nov 2015
Diagnosis certain
Changed by Zishan Sheikh, 7 Nov 2015

Updates to Case Attributes

Body was changed:

Total anomalous pulmonary venous return (TAPVR) occurs when all pulmonary veins fail to drain into the left atrium. Instead, all pulmonary veins drain anomalously into the systemic venous tributaries or into the right atrium. An interatrial communication (right-to-left shunt), either an atrial septal defect (ASD) or patent foramen ovale (PFO), is necessary for survival.

DependingThese anomalies are divided into four types depending on the drainage siteexact configuration of the pulmonary veins, the anomaly may be divided into the four typesanamalous drainage. The current case represents type II (cardiac), in which accounts for 30% of TAPVR cases. In this type, the common pulmonary venous sinus joins either the coronary sinus or the right atrium. It accounts for up to 30% of TAPVR cases.

  • -<![endif]--><!--StartFragment-->Total anomalous pulmonary venous return (TAPVR) occurs when all pulmonary veins fail to drain into the left atrium. Instead, all pulmonary veins drain anomalously into the systemic venous tributaries or into the right atrium. An interatrial communication (right-to-left shunt), either an atrial septal defect (ASD) or patent foramen ovale (PFO), is necessary for survival.</p><p>Depending on the drainage site of the pulmonary veins, the anomaly may be divided into the four types. The current case represents type II (cardiac), which accounts for 30% of TAPVR cases. In this type, the common pulmonary venous sinus joins either the coronary sinus or the right atrium.</p><p><!--EndFragment--></p>
  • +<![endif]--><!--StartFragment-->Total anomalous pulmonary venous return (TAPVR) occurs when all pulmonary veins fail to drain into the left atrium. Instead, all pulmonary veins drain anomalously into the systemic venous tributaries or into the right atrium. An interatrial communication (right-to-left shunt), either an <a title="atrial septal defect" href="/articles/atrial-septal-defect">atrial septal defect </a>(ASD) or <a title="patent foramen ovale" href="/articles/patent-foramen-ovale">patent foramen ovale</a> (PFO), is necessary for survival.</p><p>These anomalies are divided into four types depending on the exact configuration of anamalous drainage. The current case represents type II (cardiac) in which the common pulmonary venous sinus joins either the coronary sinus or the right atrium. It accounts for up to 30% of TAPVR cases.</p><p><!--EndFragment--></p>

References changed:

  • 2. Ferguson EC, Krishnamurthy R, Oldham SA. Classic imaging signs of congenital cardiovascular abnormalities. Radiographics. 2007;27 (5): 1323-34. <a href="http://radiographics.rsna.org/content/27/5/1323.full">Radiographics (full text)</a> - <a href="http://dx.doi.org/10.1148/rg.275065148">doi:10.1148/rg.275065148</a> - <a href="http://www.ncbi.nlm.nih.gov/pubmed/17848694">Pubmed citation</a><span class="auto"></span>
  • 1. Demos TC, Posniak HV, Pierce KL et-al. Venous anomalies of the thorax. AJR Am J Roentgenol. 2004;182 (5): 1139-50. <a href="http://dx.doi.org/10.2214/ajr.182.5.1821139">doi:10.2214/ajr.182.5.1821139</a> - <a href="http://www.ncbi.nlm.nih.gov/pubmed/15100109">Pubmed citation</a><span class="auto"></span>
  • Ferguson EC, Krishnamurthy R, Oldham SA. Classic imaging signs of congenital cardiovascular abnormalities. Radiographics 27(5): 1323-1334.
  • Demos TC, Posniak HV, Pierce KL et al. Venous anomalies of the thorax. AJR 2004; 182(5): 1139-1150.

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