Hostname: page-component-77c89778f8-sh8wx Total loading time: 0 Render date: 2024-07-17T12:51:36.543Z Has data issue: false hasContentIssue false
  • English
  • Français

An unusual case of obstructed total anomalous pulmonary venous return with gastric varices

Published online by Cambridge University Press:  26 October 2020

Makabongwe Tshuma Open the ORCID record for Makabongwe Tshuma [Opens in a new window] ,
Gordon Culham  and
Sanjay Maroo
Makabongwe Tshuma*
Affiliation:
Department of Radiology, BC Children’s Hospital, Vancouver, BC, Canada
Gordon Culham
Affiliation:
Department of Radiology, BC Children’s Hospital, Vancouver, BC, Canada
Sanjay Maroo
Affiliation:
Department of Radiology, BC Children’s Hospital, Vancouver, BC, Canada
*
Author for correspondence: Makabongwe Tshuma, MBChB, FRCR, Department of Radiology, BC Children’s Hospital, 4480 Oak Street, VancouverV6H 3N1, BC, Canada. Tel: +1 604 875 2131; Fax: +1 604 875 2367. E-mail: drtshuma@doctors.org.uk
Get access Rights & Permissions [Opens in a new window]

Abstract

Total anomalous pulmonary venous return with obstruction to the venous pathway is a life-threatening emergency. We report a neonate with unusual infradiaphragmatic drainage into the ductus venosus and gastric veins. Neonatal gastric varices with obstructed pulmonary venous return are extremely rare with potential for catastrophic gastrointestinal haemorrhage. The complex anatomy first detected by echocardiography was clarified on CT.

Keywords

TAPVRobstructed pulmonary veinsgastric varicestotal anomalous pulmonary venous return
Type
Brief Report
Information
Cardiology in the Young , Volume 31 , Issue 2 , February 2021 , pp. 291 - 293
Check for updates
Copyright
© The Author(s), 2020. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Duff, DF, Nihill, MR, McNamara, DG. Infradiaphragmatic total anomalous pulmonary venous return. Review of clinical and pathological findings and results of operation in 28 cases. Br Heart J 1977; 39: 619–626. http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=483289&tool=pmcentrez&rendertype=abstract CrossRefGoogle ScholarPubMed
Louis, JDS, Harvey, BA, Menk, JS, et al. Repair of “ simple ” total anomalous pulmonary venous connection : a review from the pediatric cardiac care consortium. ATS 2012; 94: 133–138. doi: 10.1016/j.athoracsur.2012.03.006 Google Scholar
Shi, G, Zhu, Z, Chen, J, et al. Total anomalous pulmonary venous connection. Circulation 2017; 135: 48–58.CrossRefGoogle ScholarPubMed
Karamlou, T, Gurofsky, R, Sukhni, EA, et al. Factors associated with mortality and reoperation in 377 children with total anomalous pulmonary venous connection. Circulation 2007; 115: 1591–1598.CrossRefGoogle ScholarPubMed
Elias-Jones, AC, Cordner, SV. Infra-diaphragmatic total anomalous pulmonary venous drainage presenting with rectal bleeding. Arch Dis Child 1983; 58: 637–639.CrossRefGoogle ScholarPubMed
Laurence, KM, Brown, RJ. Total anomalous drainage of pulmonary veins into the left gastric vein. Br Heart J 1960; 22: 295–299.CrossRefGoogle ScholarPubMed
Coley, BD. Caffey’s Pediatric Diagnostic Imaging. Elsevier, Philadelphia, PA, 2013.Google Scholar
Chen, HY, Chen, SJ, Li, YW, et al. Esophageal varices in congenital heart disease with total anomalous pulmonary venous connection. Int J Card Imaging 2000; 16: 405–9.Google ScholarPubMed
Park, JA, Lee, HD, Ban, JE, Jo, MJ, Sung, SC. Supracardiac type total anomalous pulmonary venous connection (TAPVC) with oesophageal varices. Z Kardiol 2008; 1138–1140.Google Scholar
Kao, CC, Hsieh, CC, Cheng, PJ, Chiang, CH, Huang, SY. Total anomalous pulmonary venous connection: from embryology to a prenatal ultrasound diagnostic update. J Med Ultrasound 2017; 25: 130–137. doi: 10.1016/j.jmu.2017.08.002 Google ScholarPubMed
Supplementary material: Image

Tshuma et al. supplementary material

Tshuma et al. supplementary material 1

Download Tshuma et al. supplementary material(Image)
Image 598.3 KB
Supplementary material: Image

Tshuma et al. supplementary material

Tshuma et al. supplementary material 2

Download Tshuma et al. supplementary material(Image)
Image 826.7 KB