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Total anomalous pulmonary venous return in the fourth decade.
International Journal of Cardiology
|November 18, 2005
Summary
Total anomalous pulmonary venous connection (TAPVC) often presents asymptomatically in newborns but is fatal without surgical repair. This case highlights a rare adult diagnosis of TAPVC, emphasizing diagnostic challenges.
Area of Science:
- Cardiology
- Pediatric Cardiology
- Medical Diagnostics
Background:
- Total anomalous pulmonary venous connection (TAPVC) is a critical congenital heart defect with high infant mortality.
- Delayed diagnosis of TAPVC can occur, particularly in adults, due to atypical presentations.
- Misdiagnosis as a secundum atrial septal defect is a common pitfall without high clinical suspicion.
Observation:
- A 40-year-old female presented with progressive shortness of breath.
- The patient was diagnosed with total anomalous pulmonary venous connection (TAPVC).
- This presentation is unusual as TAPVC is typically diagnosed in infancy.
Findings:
- The case underscores the possibility of late diagnosis of TAPVC in adulthood.
- Diagnostic challenges in adult TAPVC cases can mimic other cardiac conditions.
- Surgical intervention remains critical for survival, regardless of age at diagnosis.
Implications:
- Increased awareness of TAPVC in adult cardiology is crucial for timely diagnosis.
- Advanced imaging and high index of suspicion are vital for identifying rare adult congenital heart disease.
- This case highlights the importance of considering congenital anomalies in adult patients with unexplained cardiac symptoms.