Portal Venous Gas: A Clinical Finding in Obstructed Infracardiac Total Anomalous Pulmonary Venous Connection

Portal Venous Gas: A Clinical Finding in Obstructed Infracardiac Total Anomalous Pulmonary Venous Connection

Total anomalous pulmonary venous connection is a cyanotic congenital heart defect that presents with a multitude of clinical presentations. We report a case of obstructive total anomalous pulmonary venous connection (TAPVC) which presented in a way that has not previously been described. An infant w...

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Veröffentlicht in:Pediatric cardiology 2012-04, Vol.33 (4), p.669-671
Hauptverfasser: Chung, Hoyoung, Lilien, Lawrence D.
Format: Artikel
Sprache:eng
Schlagworte:
Abnormalities, Multiple
Angiography, Digital Subtraction
Cardiac Surgery
Cardiology
Diagnosis, Differential
Echocardiography
Fatal Outcome
Gas industry
Gases
Heart
Heart Defects, Congenital - diagnosis
Humans
Images in Pediatric Cardiology
Infant, Newborn
Male
Medical research
Medicine
Medicine & Public Health
Medicine, Experimental
Neonatology
Portal Vein - abnormalities
Pulmonary Veins - abnormalities
Tomography, X-Ray Computed
Vascular Malformations - diagnosis
Vascular Surgery
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Zusammenfassung:Total anomalous pulmonary venous connection is a cyanotic congenital heart defect that presents with a multitude of clinical presentations. We report a case of obstructive total anomalous pulmonary venous connection (TAPVC) which presented in a way that has not previously been described. An infant with mixed type obstructive TAPVC was found to have pulmonary interstitial emphysema and portal venous gas on a scout radiograph obtained prior to computed tomography scan. The presence of portal venous gas indicated a connection between the pulmonary venous system and the portal venous system infradiaphragmatically.
ISSN:0172-0643
1432-1971
DOI:10.1007/s00246-012-0195-x