IPCCC: 4.08.30, 04.06.03, Q1.01.55, 04.06.12, Q1.01.52
 

AEPC Derived Term:    

Totally anomalous pulmonary venous connection: mixed (04.08.30)
Supracardiac location of anomalous pulmonary venous connection(s) to left-sided vertical vein- left pulmonary vein(s) (04.06.03, Q1.01.55)
Intracardiac location of anomalous pulmonary venous connection(s) to coronary sinus - right pulmonary vein(s) (04.06.12, Q1.01.52)

EACTS-STS Derived Term:    

Total anomalous pulmonary venous connection (TAPVC), Type 4 (mixed) (04.08.30)
Pulmonary venous connection anomalous, Supracardiac-modifier for site of drainage, Supracardiac location of APVC to left-sided vertical vein, Pulmonary veins-modifier for vein(s) involved, Left pulmonary veins (04.06.03, Q1.01.55)
Pulmonary venous connection anomalous, Intracardiac-modifier for site of drainage, Intracardiac location of APVC to coronary sinus, Pulmonary veins-modifier for vein(s) involved, Right pulmonary veins (04.06.12, Q1.01.52)

ICD 10 Term:     

Definition:  pending

Common Synonyms:  pending

Modality: Anatomic specimen

Orientation: Anterior view

Description: The anterior anatomic view of this heart with concordant atrioventricular and ventriculo-arterial connections demonstrates normally related great arteries, and shows the left brachiocephalic vein draining to the superior caval vein.  There is mixed totally anomalous pulmonary venous return, with the left pulmonary veins draining in supracardiac fashion to a venous confluence that then drains into the left brachiocephalic vein, while the right pulmonary veins (red asterisk) drain to the coronary sinus, and thence to the right atrium (see image A040830-123b) (yellow asterisk-right pulmonary artery, green asterisk-left pulmonary artery, BCT-brachiocephalic trunk, LCCA-left common carotid artery, PAD-patent arterial duct)

Contributor: Diane E. Spicer, BS

Institution: The Congenital Heart Institute of Florida (CHIF)

Image Label: A040830-123a

Source of Image: Idriss Archive, Children’s Memorial Hospital, Chicago, IL

Image Certification: pending       

AWG Rating: pending       

Modality: Anatomic specimen

Orientation: Anterior lateral view

Description: The right atrium has been opened, and a probe inserted through the coronary sinus to reveal the anomalous drainage of the venous return from the right lung. The veins from the left lung drain in supracardiac fashion to the left brachiocephalic vein. As expected, the orifice of the coronary sinus is markedly dilated.  There are concordant atrioventricular connections, with the tricuspid valve guarding the inlet to the right ventricle.  The oval foramen is probe patent.  The course of the left pulmonary veins can be viewed in image A040830-123a.  (yellow asterisk-right pulmonary artery)

Contributor: Diane E. Spicer, BS

Institution: The Congenital Heart Institute of Florida (CHIF)

Image Label: A040830-123b

Source of Image: Idriss Archive, Children’s Memorial Hospital, Chicago, IL

Image Certification: pending       

AWG Rating: pending       

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