Abstract
A 5-year-old boy with an intermittent systolic heart murmur at routine pediatric checkups and an incomplete right bundle-branch block on ECG and with no other past medical history and a normal exercise tolerance presented for echocardiographic evaluation. Echocardiography showed a volume-loaded right ventricle (RV) and right atrium, a patent foramen ovale, and reversal of flow in the right upper pulmonary vein (RUPV). As these views were limited, we proceeded to perform a transesophageal echocardiogram (TEE) and a cardiac catheterization to clarify the anatomy. TEE showed normal connection of all 4 pulmonary veins and significant reversal flow from the left atrium (LA) into the âŚ
Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
