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Mixed Type Total Anomalous Pulmonary Venous Return (TAPVR)

Imaging findings

A 5-year-old child with an enlarged right heart, small left heart, secundum ASD, and abnormal venous drainage. Pulmonary veins drain into multiple locations, including a vertical vein and the coronary sinus.

Key takeaways

This is a rare "mixed type" TAPVR. The patient displays significant pulmonary hypertension, making surgical repair complex and likely requiring a staged approach or transplant.

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