Total Anomalous Pulmonary Venous Connection in an Adult: Comprehensive Multimodality Evaluation

Abstract

An unusual case of total anomalous pulmonary venous connection surviving to adulthood without surgical correction is presented. Transthoracic echocardiography first led to this diagnosis and magnetic resonance imaging refined the anatomic diagnosis leading to successful surgical correction.

Successful Correction of a Total Anomalous Venous Connection in a 63-year-old Male-Case Report and Review of the Literature

“…To enable adequate systemic blood flow, these patients must have an atrial septal defect, and usually those with a larger defect do clinically better than those with a restrictive interatrial communication 5 . The cases of corrective surgery for TAPVC in adults reported in the literature are listed in Table 1; the majority of these patients were less than 50 years of age 6–31 . Most adult patients presented with the supracardiac type of TAPVC, and only seven authors describe adult patients with an intracardiac type of TAPVC as in our patient 7,13,18,19,22,26,27 .…”