June 2025
INTERESTING ECHO OF THE MONTH
Case History
40 yrs-old male, referred for 2 D echo for complaints of dyspnea on excretion.
Physical findings: BP = 110/70 mm Hg, pulse = 55 beats /min, O2 = 98 %,
ECG : IRBB.
ECG: V-pace; normal function.
What is the Diagnosis??
Impression: PAPVC ( partial anomalous pulmonary venous connection)
The Echo clips reveals a very mild RVVO. In SAX view shows the two right sided pulmonary veins and left inferior veins are seen to be draining into the LA. The suprasternal view shows, left upper pulmonary vein courses upwards to drain into the innominate vein via the left vertical vein and from there into the right SVC and RA. This can be identified by the red flow suggesting flow towards the suprasternal flow and the pulsed Doppler suggestive of a continuous low velocity flow. There is no significant PH