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Total Anomalous Pulmonary Venous Return

Imaging findings

CT and MRI confirmed supracardiac total anomalous pulmonary venous return in an adult patient. There was a large vertical vein draining into the systemic circulation and a secundum atrial septal defect allowing for shunt.

Key takeaways

Though rare, congenital anomalies like supracardiac TAPVR can present in adulthood and should be considered in patients with unexplained dyspnea and mediastinal vascular findings.

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