Abstract
Levoatrial cardinal vein is a rare congenital anomaly characterised by an anomalous connection between left atrium or pulmonary veins and systemic veins. This abnormal connection is usually found in cases of left sided obstructive lesions. In this report we present a case of ventricular septal defect and severe pulmonary hypertension. The suspicion of a levocardinal atrial vein was raised was on echocardiography and confirmed on computed tomography. A mulitimodality diagnostic approach is mandatory for the correct diagnosis and surgical repair of this anomaly as this can also be a contributing factor for causing severe pulmonary hypertension.
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