EURORAD ESR

Case 15011

A rare variant of congenital heart disease: Infradiaphragmatic Total Anomalous Pulmonary Venous Return

Author(s)
Walter Hodges, Aamisha Gupta, Leo Jia, Chris Scelsi, Anastasios Polimenakos, Jayanth Keshavamurthy

BA-1411 30912 Augusta,
United States of America
whodges@augusta.edu
agupta@augusta.edu
ljia@augusta.edu
cscelsi@augusta.edu
apolimenakos@augusta.edu
jkeshavamurthy@augusta.edu
 
Patient
male, 2 day(s)
 
 
  • Figure 1
    Chest X-ray

    Chest/abdominal X-ray demonstrates increased pulmonary interstitial thickening and vascular pulmonary plethora without focal consolidation with umbilical venous and arterial catheters in place. Cardiac silhouette...

     
    Area of Interest: Cardiac; Paediatric; Vascular; Imaging Technique: Plain radiographic studies; Procedure: Comparative studies; Special Focus: Congenital;
     
     
  • Figure 2
    Pre-operative MRA
     

    Contrast-enhanced MR angiogram demonstrates a vertical collecting vein draining into a hepatic vein below the diaphragm.

     
    Area of Interest: Cardiac; Cardiovascular system; Imaging Technique: MR-Angiography; Procedure: Diagnostic procedure; Special Focus: Congenital;

    Contrast-enhanced MR angiogram demonstrates a vertical collecting vein draining into a hepatic vein below the diaphragm.

     
    Area of Interest: Cardiac; Cardiovascular system; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Congenital;
     
     
  • Figure 3
    Pre-operative MRI
     

    Coronal steady-state free precession MRI demonstrates all four pulmonary veins draining into a vertical collecting vein extending below the diaphragm.

     
    Area of Interest: Cardiac; Cardiovascular system; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Congenital;

    Coronal steady-state free precession MRI demonstrates all four pulmonary veins draining into a vertical collecting vein extending below the diaphragm.

     
    Area of Interest: Cardiac; Cardiovascular system; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Congenital;

    Coronal steady-state free precession MRI demonstrates all four pulmonary veins draining into a vertical collecting vein extending below the diaphragm.

     
    Area of Interest: Cardiac; Cardiovascular system; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Congenital;

    Coronal steady-state free precession MRI demonstrates all four pulmonary veins draining into a vertical collecting vein extending below the diaphragm.

     
    Area of Interest: Cardiac; Cardiovascular system; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Congenital;
     
     
  • Figure 4
    4D MRA

    Contrast-enhanced MR angiogram demonstrates a vertical collecting vein draining into a hepatic vein below the diaphragm. This is a MIP image from the 4D MRA.

     
    Area of Interest: Cardiac; Cardiovascular system; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Congenital;
     
     
Chest/abdominal X-ray demonstrates increased pulmonary interstitial thickening and vascular pulmonary plethora without focal consolidation with umbilical venous and arterial catheters in place. Cardiac silhouette enlargement.
 
Contrast-enhanced MR angiogram demonstrates a vertical collecting vein draining into a hepatic vein below the diaphragm.
 
Contrast-enhanced MR angiogram demonstrates a vertical collecting vein draining into a hepatic vein below the diaphragm.
 
Coronal steady-state free precession MRI demonstrates all four pulmonary veins draining into a vertical collecting vein extending below the diaphragm.
 
Coronal steady-state free precession MRI demonstrates all four pulmonary veins draining into a vertical collecting vein extending below the diaphragm.
 
Coronal steady-state free precession MRI demonstrates all four pulmonary veins draining into a vertical collecting vein extending below the diaphragm.
 
Coronal steady-state free precession MRI demonstrates all four pulmonary veins draining into a vertical collecting vein extending below the diaphragm.
 
Contrast-enhanced MR angiogram demonstrates a vertical collecting vein draining into a hepatic vein below the diaphragm. This is a MIP image from the 4D MRA.
 
 
 
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