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European Heart Journal 1984 5(10):842-845;
Copyright © 1984 by the European Society of Cardiology.
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© 1984 The European Society of Cardiology

2D echocardiographic diagnosis of total anomalous pulmonary venous connection of the infradiaphragmatic type

J. LAM, M. S. J. NAEFF, W. J. LUBBERS and A. NIJVELD

Departments of Paediatric Cardiology and Paediatric Cardiac Surgery, Academisch Medisch Centrum Amsterdam, The Netherlands

Received 17 February 1984; revised 27 July 1984; .

Address for correspondence: Jan Lam, M.D. Academisch Medisch Centrum, G-8-215, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands.

Abstract

In two newborn infants with infradiaphragmatic total anomalous pulmonary venous connection the common pulmonary vein was visualized with 2D echocardiography. The transducer was placed in the subcostal region so as to image the descending aorta and the vertebral column. Apart from the aorta and the inferior vena cava a third vessel was identified, lying anterior to the aorta, the proximal part lying behind the left atrium, the distal part curving anterior in the liver, the distal end being distended. These findings are highly characteristic and diagnostic for total anomalous pulmonary venous connection of the infradiaphragmatic type.

Key Words: Pulmonary veins • 2D echocardiography


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