Infracardiac total anomalous pulmonary venous return


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.