Abstract

We present a case of unusual pulmonary venous anatomy, consisting of 2 separate vertical veins, in a newborn with supracardiac total anomalous pulmonary venous connection (TAPVC). A 3.0-kg neonate boy presented on day 6 of life with pulmonary edema. He was diagnosed by echocardiography as having obstructed supracardiac TAPVC, a patent arterial duct, and a secundum-type atrial septal defect. All left- and right-sided pulmonary veins drained into a confluence behind the left atrium. This confluence then connected via 2 separate vertical veins to the left innominate vein (IV) superiorly (Figure 1 and online-only Data Supplement Movie). The left-sided vertical vein coursed from inferior to superior to drain close to the left internal jugular …

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