Correlation between Echocardiography and cardiac angio TAC to diagnose unusual Supracardiac total anomalous pulmonary venous drainage

  • Dra Lucrecia Avila Rosales, Hospital para el Niño IMIEM, Mexico
  • Dr JM Yañez Sanchez, Hospital Para el Niño IMIEM, Mexico
  • Dr Humberto Rodríguez Saldaña, Hospital Para el Niño IMIEM, Mexico
  • Dra G Melendez Ramirez, Hospital Para el Niño IMIEM, Mexico
  • Dr Manuel Ochoa, Hospital Para el Niño IMIEM, Mexico
  • Dr Felipe Arizmendi Tapia, Hospital Para el Niño IMIEM, Mexico
  • Dra Lidia Rodriguez Hernandez, Hospital Para el Niño IMIEM, Mexico

    • Correlation between Echocardiography and cardiac angio TAC to diagnose unusual Supracardiac total anomalous pulmonary venous drainage.

    Objective: Utility of Echocardiography and AngioTAC, to obtain a better view of anatomic structures.

    18 years old patient with heart failure grade II of the New York Heart Association.

    Chest Radiography: Cardiomegaly grade III, due to enlarge right cavities, collector of the right pulmonary veins “Scimitar sign” to the right of the right atrium.

    Echocardiography:
    Situs solitus, concordance atrioventricular and ventriculoarterial, supracardiac anomalous venous drainage, atrial septal defect, dilated superior vena cava, and right atrium and ventricle.

    It could be seen with the angiotac that a large collector was bifurcated only behind the lower and middle right atrium it was again only one collector in the upper part of the right atrium and drained into the superior vena cava in its union with the right atrium.

    Conclusion:

    Neither the echocardiogram nor cardiac cath didn’t showed this detail and was reported as “drainage to the acigos”, the studies were complementary and should be done in cases that have some doubt, in spite this arrangement of the collector don’t change the surgery, this presentation hasn’t been reported before.