case_images: PMC5772109_01
case_images: Electrocardiogram showing normal sinus rhythm with right bundle branch block
case_images: ATM-13-55-g001.jpg
case_images: PMC5772109_01_ATM-13-55-g001.jpg
case_images: F1
case_images: Her electrocardiogram revealed the right bundle branch block [Figure 1] and her chest X-ray revealed right ventricular (RV) enlargement [Figure 2]; hence, a transthoracic echocardiogram was ordered for further evaluation.
case_images: Chest radiography in lateral view showing prominent right ventricle
case_images: ATM-13-55-g002.jpg
case_images: PMC5772109_01_ATM-13-55-g002.jpg
case_images: F2
case_images: Her electrocardiogram revealed the right bundle branch block [Figure 1] and her chest X-ray revealed right ventricular (RV) enlargement [Figure 2]; hence, a transthoracic echocardiogram was ordered for further evaluation.
case_images: Transthoracic echocardiogram (in apical 4-chamber view) showing moderately dilated right ventricle and right atrium
case_images: ATM-13-55-g003.jpg
case_images: PMC5772109_01_ATM-13-55-g003.jpg
case_images: F3
case_images: Later showed normal left ventricular systolic and diastolic function, moderately dilated RV and right atrium (RA) [Figure 3], and pulmonary artery (PA) systolic pressure was estimated at 50 mmHg.
case_images: Cardiac magnetic resonance angiography showing large anomalous RUPLV draining into the SVC-RA junction. RUPLV=Right upper pulmonary vein, SVC=Superior vena cava, RA=Right atrium, IVC=Inferior vena cava, Ao=Aorta, PA=Pulmonary artery, LV=Left ventricle
case_images: ATM-13-55-g004.jpg
case_images: PMC5772109_01_ATM-13-55-g004.jpg
case_images: F4
case_images: RV ejection fraction of 54%, large anomalous right upper pulmonary vein (RUPV) draining into the SVC-RA junction [Figure 4], and small anomalous right middle pulmonary vein draining into the left atrium (LA) with sinus venosus ASD [Figure 5]. Ratio of pulmonic to systemic blood flow (Qp:Qs) was 2.78:1.
case_images: Cardiac magnetic resonance imaging showing small anomalous RMPV draining into the LA with sinus venosus ASD. RMPV=Right middle pulmonary vein, ASD=Atrial septal defect, RA=Right atrium, RV=Right ventricle, LA=Left atrium, LV=Left ventricle
case_images: ATM-13-55-g005.jpg
case_images: PMC5772109_01_ATM-13-55-g005.jpg
case_images: F5
case_images: RV ejection fraction of 54%, large anomalous right upper pulmonary vein (RUPV) draining into the SVC-RA junction [Figure 4], and small anomalous right middle pulmonary vein draining into the left atrium (LA) with sinus venosus ASD [Figure 5]. Ratio of pulmonic to systemic blood flow (Qp:Qs) was 2.78:1.