Female 4 days old Reason: Where are the pulmonary veins draining? History: infant with TAPVR Left VentricleThe left ventricle is normal. There are no regional wall motion abnormalities present. There is no intracardiac thrombus.Left AtriumThe left atrium is normal, however no pulmonary veins are going to it. There is an osteomyelitis second and a as the superiorly to the coronary sinus. Right VentricleThe right ventricle is dilated. Right AtriumThe right atrium is moderately dilated. Hemostasis secundum ASD about the coronary sinus is noted. Open (image 7a series 1101) Aortic ValveThe aortic valve opens widely and there is no significant aortic regurgitation visualized. Dedicated through plane imaging was not performed.Mitral ValveThe mitral valve opens widely and there is no significant mitral regurgitation visualized. Dedicated through plane imaging was not performed.Pulmonic ValveThe pulmonic valve opens widely. There is no significant pulmonic regurgitation visualized. Dedicated through plane imaging was not performed.Tricuspid ValveThe tricuspid valve opens widely. There is mild to moderate tricuspid regurgitation visualized. Dedicated through plane imaging was not performed.AortaThe ascending thoracic aorta is normal in size. There is a left sided aortic arch.Pulmonary ArteryThe main pulmonary artery is normal in size. Venous AnatomyThe SVC and IVC are normal in size and drain normally into the right atrium. Pulmonary veins are merging in a common single collecting chamber posterior and inferiorly to the left atrium and drains into the right atrium via the coronary sinus (image 30, series 2401). No other alternative vessel was identified as a possible source of venous return from the lungs.PericardiumThere is a small pericardial effusion.Extracardiac FindingsPossible bibasilar lung consolidation. Partial view of the solid organs of the upper abdomen are normal..
1. Total anomalous pulmonary venous return to the right atrium as described.2. Osseous secundum ASD.3. Right atrial and ventricular dilatation.4. Small pericardial effusion.5. Bibasilar opacities likely atelectasis.6. Mild to moderate tricuspid regurgitation.Dr. Peter Varga was present during the elaboration of this report and agrees with the findings.