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Obstructed infracardiac total anomalous pulmonary venous connection with patent ductus venosus: possibility of emergency palliation.
Egypt Heart J
February 2025
Department of Cardiovascular Radiology and Endovascular Interventions, All India Institute of Medical Sciences, New Delhi, 110029, India.
Background: Patients with obstructed infra-cardiac total anomalous pulmonary venous connection (TAPVC) require urgent intervention to relieve the obstruction, with or without restoration of anatomical continuity between the pulmonary veins and the left atrium. In cases of infra-cardiac TAPVC draining into the inferior vena cava (IVC) or hepatic vein, the obstructed channel can be accessed via the systemic venous approach for endovascular palliation. However, in cases of infra-cardiac TAPVC draining into the portal venous system, an endovascular approach to the obstructed channel is not possible via the transfemoral route and may require direct percutaneous puncture of the splenoportal axis.
View Article and Find Full Text PDFInfracardiac Total Anomalous Pulmonary Venous Connection with Meandering Intrapulmonary Vertical Vein Masquerading as a Scimitar Vein.
World J Pediatr Congenit Heart Surg
February 2025
Department of Cardiovascular Radiology & Endovascular Interventions, All India Institute of Medical Sciences, New Delhi, India.
Outcomes in Late Presenting Obstructed Infracardiac Total Anomalous Pulmonary Venous Connection-Single Centre Experience.
World J Pediatr Congenit Heart Surg
January 2025
Department of Cardio Vascular and Thoracic Surgery, U. N. Mehta Institute of Cardiology and Research Center (affiliated to BJ medical college, Ahmedabad), Ahmedabad, Gujarat, India.
Background: Survival beyond one month of age is rare in children born with obstructed infracardiac total anomalous pulmonary venous connection (TAPVC). There are limited data available on surgical outcomes of the same subset. We conducted this retrospective study to identify risk factors associated with surgical outcomes in this patient population.
View Article and Find Full Text PDFPrenatal MR Diagnosis of Total Anomalous Pulmonary Venous Connection and Related Brain Growth Changes.
J Magn Reson Imaging
December 2024
Department of Radiology, Shanghai Children's Medical Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Article Synopsis
- - The study assesses the effectiveness of fetal MRI in diagnosing total anomalous pulmonary venous connection (TAPVC) and its impact on fetal brain development by comparing brain volumes in affected fetuses to normal controls and those with another heart condition, tetralogy of Fallot (TOF).
- - Among 21 TAPVC fetuses studied, the majority were classified as supracardiac or intracardiac, with significant post-natal confirmation of cases, while some fetuses also presented other cardiac abnormalities.
- - Key MRI findings included a dilated coronary sinus and pulmonary edema, with notable differences in brain volumes where TAPVC fetuses exhibited lower cerebellum and brainstem volumes compared to controls, alongside an increase in subc
Pseudo hepatic vein thrombosis in a newborn with infracardiac total anomalous pulmonary venous connection.
Pediatr Radiol
November 2024
University of Toronto, The Hospital for Sick Children, Toronto, Canada.
Article Synopsis
- A newborn with a rare heart condition was found to have an unusual liver blood flow pattern during a CT scan that was initially thought to be a blood clot.
- The case highlights how the baby's unique anatomy affects liver blood flow distribution, leading to the misinterpretation of imaging results.
- Gaining a clearer understanding of these hepatic perfusion abnormalities can help medical professionals correctly identify similar cases in the future, preventing misdiagnosis and extra tests.
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