Total anomalous pulmonary vein drainage in a 60-year-old woman diagnosed in an ECG-gated multidetector computed tomography - a case report and review of literature

• Published in: Polish journal of radiology Vol. 83; pp. e334 - e339
• Main Authors: Czekajska-Chehab, Elżbieta, Tomaszewski, Andrzej, Adamczyk, Piotr, Zakościelna, Magdalena, Wojtkowska, Agnieszka, Siek, Elżbieta, Staśkiewicz, Grzegorz, Drop, Andrzej
• Format: Report
• Language: English
• Published: 01.01.2018
• DOI: 10.5114/pjr.2018.77696
• ISSN: 1733-134X

PURPOSETotal anomalous pulmonary vein drainage (TAPVD) is a congenital cardiac defect in which there is no connection between pulmonary veins and the left atrium. Pulmonary veins form a confluence independent of the left atrium and drain to a systemic vein. TAPVD types are: supracardiac, cardiac, infracardiac, and mixed. TAPVD accounts for approximately 1.5-2.2% of all congenital heart diseases. This anomaly is usually diagnosed in the neonatal period, and it coexists with atrial septal defect. Adult cases of TAPVD are rarely reported. CASE REPORTWe report a rare case of a 60-year-old woman with incidentally found, uncorrected TAPVD in ECG-gated multidetector computed tomography. In previous echocardiographic examinations partial anomalous pulmonary venous return and atrial septal defect were diagnosed. CONCLUSIONSECG-gated multidetector computed tomography is a valuable diagnostic method for adults with congenital heart disease. It enables evaluation of coronary arteries and simultaneously provides detailed anatomy of great vessels.