Total anomalous pulmonary venous return

Table of Contents

Alternative Names

TAPVR


Symptoms

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: Sometimes, no symptoms may be present in infancy or early childhood.


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


Review Date: 12/21/2009
Reviewed By: Kurt R. Schumacher, MD, Pediatric Cardiology, University of Michigan Congenital Heart Center, Ann Arbor, MI. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org)