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Atypical Abnormal Pulmonary Vein Drainage with Atrial Septal Defect: Surgical Treatment
Author(s) -
Szychta Wojciech,
Cerin Gheorghe,
Popa Bogdan Adrian,
Felice Armienti,
Lanzillo Guido,
Diena Marco,
Opolski Grzegorz
Publication year - 2015
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/echo.12863
Subject(s) - medicine , sinus venosus , cardiology , superior vena cava , pulmonary vein , interatrial septum , radiology , right atrium , coronary sinus , left atrium , atrial fibrillation
Sinus venosus atrial septal defect ( SV ‐ ASD ) usually coexists with partial anomalous pulmonary vein connection ( PAPVC ). It is a difficult diagnosis in transthoracic echocardiography ( TTE ) due to eccentric position of defects. We present a rare case of atypical anatomical variation in PAPVC , which was never described before. Two right pulmonary veins drained into superior vena cava, which overrode SV ‐ ASD and interatrial septum, a third pulmonary vein into the right atrium. Complete diagnosis could not be set after TTE , nor transesophageal echocardiography, whereas angio‐ CT was finally conclusive. This diagnostic approach allowed the surgical planning.