Ann Card Anaesth Close
 

Figure 1: (a) En face view of the interatrial septum from the right atrium, obtained via 3DTEE shows a secundum type ASD (*). (b) Agitated saline injection in 2D TEE shows a negative contrast (*) in the SVC, suggestive of a connection between a vein and the SVC. (c) 3DTEE, obtained via the full-volume mode and subsequently cropped demonstrates a connection between a pulmonary vein and the SVC. Computed tomographic angiography in (d) the transverse, and (e) coronal planes shows a connection between the RUPV to one half of the distal SVC. AO: Aorta; ASD: Atrial septal defect; RUPV: Right upper pulmonary vein; SVC: Superior vena cava

Figure 1: (a) En face view of the interatrial septum from the right atrium, obtained via 3DTEE shows a secundum type ASD (*). (b) Agitated saline injection in 2D TEE shows a negative contrast (*) in the SVC, suggestive of a connection between a vein and the SVC. (c) 3DTEE, obtained via the full-volume mode and subsequently cropped demonstrates a connection between a pulmonary vein and the SVC. Computed tomographic  angiography in (d) the transverse, and (e) coronal planes shows a connection between the RUPV to one half of the distal SVC. AO: Aorta; ASD: Atrial septal defect; RUPV: Right upper pulmonary vein; SVC: Superior vena cava