Skip to main content
. 2016 Jul 1;10(7):TE01–TE10. doi: 10.7860/JCDR/2016/21443.8210

[Table/Fig-19]:

Cardiac tapvc.

cardiac tapvc Pathway of pulmonary venous return:
  • Common pulmonary venous channel coronary sinus RA.

  • All 4 pulmonary veins drain separately into RA.

Incidence [13] Accounts for 20% of TAPVC patients.
Association ASD/PFO
Syndromes
Imaging features Plain Moderate cardiomegaly (RA/RV enlargement) Pulmonary plethora
Imaging features specific Echo dilated coronary sinus- first clue to this condition
MRI adequately demonstrates the anomalous pathway with functional assessment (Qp:Qs) CT
Management [13]
  1. TAPVC to RA: excision of atrial septum and redirection of pulmonary venous return to LA through a patch

  2. TAPVC to coronary sinus: Unroofing of coronary sinus (incision in anterior wall of coronary sinus for communication between CS and LA) with closure of ostium of CS and ASD