Supracardiac Total Anomalous Pulmonary Venous Return Repair in a 7-Month-Old Infant

Area of Science:

• Pediatric Cardiology
• Congenital Heart Disease
• Cardiac Surgery

Background:

• Total anomalous pulmonary venous return (TAPVR) is a critical congenital heart malformation.
• Pulmonary veins abnormally connect to the right atrium, necessitating early surgical intervention.
• Survival beyond infancy without surgical repair is exceedingly rare.

Purpose of the Study:

• To report an unusual case of supracardiac TAPVR in an infant.
• To describe the management of a patient with atypical venous return and ductal shunting.
• To highlight successful surgical outcomes in a complex pediatric cardiac case.

Main Methods:

• Case report of an infant with supracardiac TAPVR.
• Management involved stabilization of left heart function.
• Surgical repair of anomalous venous return was performed at 7 months of age.

Main Results:

• The infant survived for 7 months with atypical TAPVR and right-to-left shunting via a patent ductus arteriosus.
• Surgical repair was successfully performed 2 months after initial stabilization.
• The patient remained well with no complications 3 years post-surgery.

Conclusions:

• This case demonstrates the possibility of extended survival in infants with complex TAPVR.
• Early stabilization and timely surgical intervention are crucial for favorable outcomes.
• Successful surgical repair can lead to long-term recovery in challenging pediatric cardiac cases.