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Total anomalous systemic venous drainage

P Viart, J L Le Clerc, G Primo

American Journal of Diseases of Children (1960)

|February 1, 1977

Summary

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Total systemic venous return to the left atrium is rare without severe heart defects. This case details a child with anomalous pulmonary venous connection, successfully diagnosed and treated.

Area of Science:

Cardiology
Pediatric Cardiology
Congenital Heart Disease

Background:

Total anomalous systemic venous connection to the left atrium is exceptionally rare.
It typically occurs with severe intracardiac malformations.

Observation:

A 3-year-old boy presented with cyanotic congenital heart disease.
He had drainage of the left superior vena cava, inferior vena cava, and coronary sinus into the left atrium.
A large atrial septal defect was the only associated anomaly; no right superior vena cava was present.

Findings:

The patient had a rare form of cyanotic congenital heart disease.
Diagnosis was established through clinical evaluation and likely imaging (though not specified).

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Implications:

This case highlights that total anomalous systemic venous connection to the left atrium can occur with a less complex cardiac anatomy.
Successful diagnosis and surgical correction are possible for this rare condition.
It underscores the importance of considering unusual presentations of congenital heart disease in pediatric patients.