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An unusual case of obstructed total anomalous pulmonary venous return with gastric varices

Published online by Cambridge University Press:  26 October 2020

Makabongwe Tshuma*
Affiliation:
Department of Radiology, BC Children’s Hospital, Vancouver, BC, Canada
Gordon Culham
Affiliation:
Department of Radiology, BC Children’s Hospital, Vancouver, BC, Canada
Sanjay Maroo
Affiliation:
Department of Radiology, BC Children’s Hospital, Vancouver, BC, Canada
*
Author for correspondence: Makabongwe Tshuma, MBChB, FRCR, Department of Radiology, BC Children’s Hospital, 4480 Oak Street, VancouverV6H 3N1, BC, Canada. Tel: +1 604 875 2131; Fax: +1 604 875 2367. E-mail: [email protected]

Abstract

Total anomalous pulmonary venous return with obstruction to the venous pathway is a life-threatening emergency. We report a neonate with unusual infradiaphragmatic drainage into the ductus venosus and gastric veins. Neonatal gastric varices with obstructed pulmonary venous return are extremely rare with potential for catastrophic gastrointestinal haemorrhage. The complex anatomy first detected by echocardiography was clarified on CT.

Type
Brief Report
Copyright
© The Author(s), 2020. Published by Cambridge University Press

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References

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