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Supracardiac Total Anomalous Pulmonary Venous Connection with A Descending Vertical Vein

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Abstract

The commonly used Darling classification for total anomalous pulmonary venous connection (TAPVC) consists of supracardiac, cardiac, infracardiac, and mixed types (Craig et al., Lab Invest 6:44–64, 1967). In supracardiac TAPVC, the common pulmonary vein drains superiorly into the left innominate vein, the superior vena cava, or the azygos vein by way of an ascending vertical vein. We describe a case of supracardiac TAPVC draining into the azygos vein atypically by way of a descending vertical vein.

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References

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Author information

Correspondence to Sejal Shah.

Electronic supplementary material

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Video 1 Suprasternal view on color Doppler echocardiogram showing right upper and lower pulmonary veins draining into a common confluence which is coursing toward the left across the midline, turning inferiorly to form a descending vertical vein into which the left upper and lower veins are seen draining. This descending vertical vein is then seen crossing the midline to drain into the azygos vein where it is narrowed in caliber. The azygos vein is then seen coursing superiorly on the right side. (MOV 2,324 kb)

Video 2 Suprasternal view on color Doppler showing the entry of the azygos vein into the right-sided SVC. (MOV 2,102 kb)

Video 1 Suprasternal view on color Doppler echocardiogram showing right upper and lower pulmonary veins draining into a common confluence which is coursing toward the left across the midline, turning inferiorly to form a descending vertical vein into which the left upper and lower veins are seen draining. This descending vertical vein is then seen crossing the midline to drain into the azygos vein where it is narrowed in caliber. The azygos vein is then seen coursing superiorly on the right side. (MOV 2,324 kb)

Video 2 Suprasternal view on color Doppler showing the entry of the azygos vein into the right-sided SVC. (MOV 2,102 kb)

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Shah, S., Singh, M., John, C. et al. Supracardiac Total Anomalous Pulmonary Venous Connection with A Descending Vertical Vein. Pediatr Cardiol 30, 1043–1045 (2009) doi:10.1007/s00246-009-9509-z

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Keywords

  • Congenital heart disease
  • Total anomalous pulmonary venous connection
  • Echocardiogram