Abstract
Drainage of one or more pulmonary veins into rightsided circulation instead of the left atrium is a rarely seen anomaly in adults [1–4]. In the preoperative evaluation of a female patient with esophageal carcinoma, axial (Fig 1A), coronal section (Fig 1B), and three-dimensional reconstruction (Fig 1C) of thorax computed tomography demonstrated abnormal drainage of the left superior pulmonary vein to the left brachiocephalic vein. Because pulmonaryto-systemic shunt size was not large and the patient was asymptomatic, surgical correction was not performed. She underwent esophageal carcinoma surgery.
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