Publication Date

5-1-2022

Journal

The Texas Heart Journal

DOI

10.14503/THIJ-20-7393

PMID

35763036

Publication Date(s)

May 2022

Language

English

PMCID

PMC9242634

PubMedCentral® Posted Date

6-28-2022

PubMedCentral® Full Text Version

Post-Print

Published Open-Access

yes

Keywords

Cardiovascular abnormalities, disease-free survival, drainage, heart defects, congenital/diagnosis/surgery, infant, pulmonary veins/abnormalities/diagnostic imaging/surgery, treatment outcome, vascular surgical procedures/methods

Abstract

Total anomalous pulmonary venous return is a congenital heart malformation characterized by anomalous pulmonary venous inflow to the right atrium. Surgical repair typically occurs during the first month of life, and survival beyond that age in untreated patients is unlikely. We report an extreme case of supracardiac total anomalous pulmonary venous return in an infant who survived 7 months despite atypical anomalous inflow without atrial-level communication and with right-to-left shunting only through a patent ductus arteriosus. We stabilized the patient's left-sided heart function before surgically repairing the anomalous venous return 2 months later. Three years postoperatively, the patient was well.

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