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Case report: Additional Imaging Supports TAPVR Care

A case report shows that advanced cardiac CT and MRI imaging can improve surgical planning and reintervention for patients with infradiaphragmatic total anomalous pulmonary venous return (TAPVR). See what Sebastián Quiñones-Carrasquillo, MD, and co-authors Todd Nowlen, MD and Daniel Velez, MD, recommend for using these advanced diagnostic imaging modalities.

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  • August 12, 2026

  • 6 min

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Clinical Report: Additional Imaging Supports TAPVR Care

Overview

Advanced imaging techniques, such as cardiac CT and MRI, can enhance surgical planning for infradiaphragmatic total anomalous pulmonary venous return (TAPVR) by revealing anatomical details that echocardiography may miss.

Background

Total anomalous pulmonary venous return (TAPVR) is a critical congenital heart defect that can lead to significant morbidity and mortality if not accurately diagnosed and treated. Echocardiography is the primary diagnostic tool; however, its limitations in complex cases necessitate the use of advanced imaging modalities.

Data Highlights

No numerical data or trial data presented in the article.

Key Findings

  • Advanced imaging can identify anatomical differences in TAPVR.
  • Echocardiography may not fully reveal the anatomy in complex TAPVR cases.
  • Cardiac CT is recommended for stable patients to delineate pulmonary vein anatomy.
  • Postoperative imaging may be necessary if patients exhibit ongoing symptoms.

Clinical Implications

Healthcare providers should be aware of the limitations of echocardiography in diagnosing complex TAPVR.

Conclusion

This case report emphasizes the role of advanced imaging in the management of TAPVR.

Related Resources & Content

  1. Quiñones-Carrasquillo et al., JACC: Case Reports, 2023 -- Additional Imaging Supports TAPVR Care
  2. Frontiers in Cardiovascular Medicine — Case Report: Post-Total anomalous pulmonary venous connection pulmonary hypertension - novel treatment using sirolimus and atrial flow regulator implantation
  3. Frontiers in Medicine — Case Report: Selective metal cell excision during open TAVR implantation preserves coronary access while maintaining valve integrity and function
  4. European Radiology — Hybrid Image Fusion for Transjugular Intrahepatic Portosystemic Shunt (TIPS) Creation Using Angio-CT
  5. Clinical Research in Cardiology — Factors Influencing Low TAVI-Prosthesis Position Evaluated Through Fusion Imaging of Pre- and Post-Procedure CT Angiography
  6. 2025 ACC/AHA/HRS/ISACHD/SCAI Guideline for the Management of Adults With Congenital Heart Disease
  7. Selecting optimal imaging modalities for total anomalous pulmonary venous connection visualization
  8. Comparison of the Efficacy and Safety of Sutureless Technique Versus Conventional Surgery in the Initial Treatment of Total Anomalous Pulmonary Venous Connection: A Systematic Review and Meta-Analysis - PubMed

Original Source(s)

Case report: Additional Imaging Supports TAPVR Care

  • by

  • August 12, 2026

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