Total anomalous pulmonary venous return

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Heart, section through the middle Totally anomalous pulmonary venous return, X-ray Totally anomalous pulmonary venous return, X-ray Totally anomalous pulmonary venous return, X-ray

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Total anomalous pulmonary venous return

TAPVR

The infant may appear to be critically ill and may display the following symptoms:

• lethargy
• poor feeding
• rapid breathing
• poor growth
• frequent respiratory infections
• cyanosis (blue discoloration of the skin)

Note: In some cases no symptoms may be present in infancy or early childhood.

• An ECG shows signs of enlargement of the ventricles (ventricular hypertrophy).
• An X-ray of the chest shows a normal to small heart with fluid in the lungs.
• An echocardiogram usually defines the attachment of pulmonary vessels.
• Cardiac catheterization can provide definitive diagnosis by showing abnormal attachments of the blood vessels.

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