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American Journal of Roentgenology, Vol 102, 372-379, Copyright © 1968 by American Roentgen Ray Society

A PLAIN FILM SIGN OF TOTAL ANOMALOUS PULMONARY VENOUS CONNECTION BELOW THE DIAPHRAGM

SAUL EISEN M.D.1 and LARRY P. ELLIOTT M.D.2

1 Fellow in Cardiac Radiology, Department of Radiology, University of Florida College of Medicine, Gainesville, Florida
2 Professor of Radiology (Cardiac), University of Florida College of Medicine, Gainesville, Florida

In 3 cases of T.A.P.V.C. below the diaphragm, the common pulmonary vein produced an anterior indentation in the lower portion of the barium filled esophagus. This occurred a short distance above the diaphragm, yet slightly below the expected site of left atrial indentation. With further experience, this may prove to be a uniformally diagnostic sign, especially if carefully controlled barium swallow study is performed in all infants with respiratory distress.

A rare type of T.A.P.V.C. above the diaphragm is reported to show that similar esophageal indentations are not specific for T.A.P.V.C. below the diaphragm.


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Copyright © 1968 by the American Roentgen Ray Society.