Abstract
Anomalous pulmonary venous return represents a rare congenital anomaly with wide anatomic and physiologic variability. We report a case of a newborn with a rare form of total infracardiac anomalous pulmonary venous connection (TAPVC). The pulmonary veins draining both lungs formed two vertical veins, which joined to a common pulmonary trunk below the diaphragm. This venous channel connected to the portal vein through the esophageal hiatus. The diagnosis was suggested by color Doppler sonography and confirmed by intravenous digital subtraction angiography, which allowed definition of the anatomy.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Silverman FN, Kuhn JP (1990) Caffey's pediatric x-ray diagnosis, 9th ed. Mosby. Chicago, London, Boca Raton, Littleton, MA, pp 779–782
Darling RC, Rothney WB, Craig JM (1957) Total pulmonary venous drainage into the right side of the heart. Lab Invest 6:44–64
Paster SB, Swensson RE, Yabek SM (1977) Total anomalous pulmonary venous connection: Report of ten cases and review of the literature. Pediatr Radiol 6:132–140
Chen JTT (1979) Radiologic demonstration of anomalous pulmonary venous connection and its clinical significance. CRC Crit Rev Diagn Imag 17:383–422
Moes CAF, Freedom RM, Burrows PE (1985) Anomalous pulmonary venous connection. Semin Roentgenol 20:134–150
Kirks D, Kirks R (1991) Practical pediatric imaging, 2nd ed. Little Brown. Boston, Toronto, London, pp 468–473
Weaver MD, Chen JT, Anderson PA, Lester RG (1976) Total anomalous pulmonary venous connection to the left vertical vein. A plainfilm sign useful in early diagnosis. Radiology 118:679–683
Eisen S, Elliott LP (1968) A plain film sign of total anomalous pulmonary venous connection below the diaphragm. AJR 102:372–379
Wang JK, Lue HC, Wu MH, Young ML, Wu FF, Wu JM (1993) Obstructed total anomalous pulmonary venous connection. Pediatr Cardiol 14:28–32
Garcia Morejon C, Savio Benavides A, Arista Salado O, Casanova Arzola R, Torrealday NH, Maitre Azcarate MJ, Quero Jimenez M (1991) La ecocardiografia bidimensional y Doppler codificado en color en el diagnostico del drenaje venoso pulmonar anomalo total infradiafragmatico al sistema venoso porta. Rev Esp Cardio 44:66–69
Triller J, Fritschy P, Tschäppeler H, Stocker F (1986) Ergebnisse der digitalen Subtraktionsangiographie bei Kindern und Jugendlichen. Fortschr Röntgenstr 145:1–8
Higgins CB, Byrd BF II, McNamara MT, Lanzer P, Lipton MJ, Botvinick E, Schiller NB, Crooks LE, Kaufman L (1985) Magnetic resonance imaging of the heart: A review of the experience in 172 subjects. Radiology 155:671–679
Didier D, Higgins CB, Fisher MR, Osaki L, Silvermann NH, Cheitlin MD (1986) Congenital heart disease: Gate MR imaging in 72 patients. Radiology 158:227–235
Choe YH, Lee HJ, Kim HS, Ko JK, Kim JE, Han JJ (1994) MRI of total anomalous pulmonary venous connections. J Comput Assist Tomogr 18:243–249
Masui T, Seelos KC, Kersting-Sommerhoff BA, Higgins CB (1991) Abnormalities of the pulmonary veins: Evaluation with MR imaging and comparison with cardiac angiography and echocardiography. Radiology 181:645–649
Wang JK, Li YW, Young ML, How SW, Lue HC (1992) Delineation of obstruction in total anomalous pulmonary venous connection utilizing magnetic resonance imaging. Am Heart J 124:807–809
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Wyttenbach, M., Carrel, T., Schüpbach, P. et al. Total anomalous pulmonary venous connection to the portal vein. Cardiovasc Intervent Radiol 19, 113–116 (1996). https://doi.org/10.1007/BF02563905
Issue Date:
DOI: https://doi.org/10.1007/BF02563905