alexa Distinctive Mediastinal Appearance in Chest Radiograph of a Patient with Total Anomalous Pulmonary Venous Connection
ISSN: 2375-4273

Health Care : Current Reviews
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Case Report

Distinctive Mediastinal Appearance in Chest Radiograph of a Patient with Total Anomalous Pulmonary Venous Connection

Firdouse M1, Agarwal A1, Predescu D2, Gilleland J2and Mondal T2*

1Faculty of Health science, McMaster University, Hamilton, ON, Canad

2Department of Pediatrics, McMaster Children’s Hospital, McMaster University, Hamilton, ON, Canada

Corresponding Author:
Dr. Tapas Mondal
Department of Pediatrics, McMaster University
1280 Main Street West, Hamilton
ON, L8S 4K1, Canada
Tel: (905) 521-2100 x75259
E-mail: [email protected]

Received date: August 08, 2013; Accepted date: September 10, 2013; Published date: September 12, 2013

Citation: Firdouse M, Agarwal A, Dragos Predescu, Gilleland J, Mondal T (2013) Distinctive Mediastinal Appearance in Chest Radiograph of a Patient with Total Anomalous Pulmonary Venous Connection. Health Care Current Reviews 1:102. doi:10.4172/hccr.1000102

Copyright: © 2013 Firdouse M, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.



Abstract Despite technological advancements, diagnosis of total anomalous pulmonary venous connection (TAPVC) can be challenging in neonates and infants, particularly in asymptomatic cases. We report a case of a 22-month-old boy who presented to the Emergency department with a history of intermittent fever and cough, initially diagnosed as pneumonia. The presence of an enlarged mediastinal mass was noted in a chest radiograph and was interpreted as a potential malignancy. However, the presence of a supracardiac type of TAPVC with significant right-sided cardiac dilation and a large unobstructed ascending vertical vein was confirmed by echocardiogram. Elective and uneventful surgical correction was performed with subsequent follow-up to confirm cardiac stability and normalization. This case presents the “snowman” or “figure-of-eight” appearance characteristic of TAPVC. Moreover, our patient’s chest radiograph is suggestive of a well-defined, smooth and linear vascular shadow with the presence of a normal lung parenchyma along with increased pulmonary vascularity indicating a left-sided vertical vein in keeping with the supracardiac type of TAPVC. Not commonly reported in previous literature, these unique radiographic findings may hold significant value for pediatricians and imaging specialists as a diagnostic tool for the supracardiac variant of this congenital pathology


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