ABSTRACT
Total anomalous pulmonary venous drainage (TAPVD) is a rare entity which forms approximately 0.4 to 2% of all congenital heart disease. The infracardiac type usually involve obstructions on pulmonary venous connections and comprising a quarter of all TAPVD cases. The clinical findings in patients with obstructed infracardiac TAPVD could mimic respiratuary distress of several different etiologies during first hours of life. In this article,we present a case of a neonate with infracardiac type of TAPVD presented with only distinct subcutaneous veins of abdominal and thoracic wall.
Subject(s)
Abdominal Wall/blood supply , Echocardiography , Heart Defects, Congenital/diagnostic imaging , Humans , Infant, Newborn , Male , Pulmonary Veins/abnormalities , Pulmonary Veins/diagnostic imaging , Subcutaneous Tissue/blood supply , Thoracic Wall/blood supplyABSTRACT
Systemic hypertension is not usually a complication following repair of total anomalous pulmonary venous connection (TAPVC). We report an infant with supracardiac TAPVC with hypertensive crises post-operatively resulting in pulmonary edema. We feel this might have been related to the pre-operative hemodynamics as described. Beta-blockers improved the hypertensive crises.