CASE 2
5 years old male patient. Since his brother was diagnosed with LACV
anomaly, he was brought to the pediatric cardiology outpatient clinic
for control purposes. Physical examination was normal and no cardiac
pathology was detected. That’s why transthoracic echocardiography (TTE)
was done. Transthoracic echocardiogram showed an anomalous vein
communicating between the innominate vein and the left atrium. The
patient’s pulmonary venous return was normal, and other cardiac
morphological structures were also normal. Computed tomography (CT) was
performed for further evaluation of the anomalous communication. This
showed anomalous vessel between the pulmoner vein and the innominate
vein, was compatible with LACV ( Fig 3). Cardiac
catheterization was performed and revealed a left to right shunt.
Radiopaque contrast agent was administered to the innominate vein, it
was observed that the solution filled the LACV first and then the left
superior pulmonary vein (Fig 4 ).