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

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.

• 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.

Review Date: 06/27/2006
Reviewed By: Anne J. L. Chun, M.D., Assistant Professor of Pediatrics, Division of Pediatric Cardiology, New York University School of Medicine, New York, NY. Review provided by VeriMed Healthcare Network.