Total Anomalous Pulmonary Vein Drainage in a 60-year-old Woman Diagnosed in an ECG-gated Multidetector Computed Tomography - a Case Report and Review of Literature

Overview

Journal Pol J Radiol

Publisher Termedia

Specialty Radiology

Date 2019 Jan 11

PMID 30627256

Citations 1

Authors

Elzbieta Czekajska-Chehab

Andrzej Tomaszewski

Piotr Adamczyk

Magdalena Zakoscielna

Agnieszka Wojtkowska

Elzbieta Siek

Grzegorz Staskiewicz

Andrzej Drop

Affiliations

Soon will be listed here.

Abstract

Purpose: Total anomalous pulmonary vein drainage (TAPVD) is a congenital cardiac defect in which there is no connection between pulmonary veins and the left atrium. Pulmonary veins form a confluence independent of the left atrium and drain to a systemic vein. TAPVD types are: supracardiac, cardiac, infracardiac, and mixed. TAPVD accounts for approximately 1.5-2.2% of all congenital heart diseases. This anomaly is usually diagnosed in the neonatal period, and it coexists with atrial septal defect. Adult cases of TAPVD are rarely reported.

Case Report: We report a rare case of a 60-year-old woman with incidentally found, uncorrected TAPVD in ECG-gated multidetector computed tomography. In previous echocardiographic examinations partial anomalous pulmonary venous return and atrial septal defect were diagnosed.

Conclusions: ECG-gated multidetector computed tomography is a valuable diagnostic method for adults with congenital heart disease. It enables evaluation of coronary arteries and simultaneously provides detailed anatomy of great vessels.

Citing Articles

Echocardiographic features and influencing factors of pulmonary hypertension of total anomalous pulmonary venous connection in adults.

Xue C, Gu X, Han J, Zhao Y, Zhang Y, He Y J Thorac Dis. 2023; 15(7):3791-3799.

PMID: 37559638 PMC: 10407536. DOI: 10.21037/jtd-22-1793.

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