Cyanosis in a 9-month-old child after repair of total anomalous pulmonary venous return

Heiner Latus, Tarique Hussain, Thomas Krasemann, Gerald F. Greil

Research output: Contribution to journalArticle

Abstract

A 9-month-old girl presented with cyanosis after correction of total anomalous pulmonary venous return (TAPVR) to the coronary sinus in the neonatal period. During corrective surgery, the right superior vena cava (RSVC) was damaged and re-anastomosed to the right atrium. Echocardiography showed increased flow velocity in the pulmonary venous confluence. Therefore, pulmonary venous obstruction was suspected. However, subsequent cardiac MRI revealed a stenosed RSVC as well as a dilated left superior vena cava (LSVC) draining from the left innominate vein into the pulmonary venous confluence. The re-recruited LSVC drained deoxygenated blood into the systemic circulation, causing cyanosis. After uncomplicated placement of a stent in the narrowed RSVC and occlusion of the LSVC, transcutaneous saturations normalized immediately.

Original languageEnglish (US)
Pages (from-to)758-760
Number of pages3
JournalPediatric Radiology
Volume42
Issue number6
DOIs
StatePublished - Jun 1 2012

Keywords

  • Anomalous pulmonary venous return
  • Congenital heart disease
  • Magnetic resonance imaging
  • Paediatric cardiac surgery

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Radiology Nuclear Medicine and imaging

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