TY - JOUR AU - Sara Solórzano-Morales AU - Francisco López-Elías AU - Javier López-Terrazas AU - Max Bernal-Moreno AU - Alexis Palacios-Macedo-Quenot AU - Alfredo Bobadilla-Aguirre PY - 2014/07/09 Y2 - 2024/03/28 TI - Total anomalous connection of pulmonary veins to the portal vein. Value of multislice angiotomography. Report on three cases JF - Acta Pediátrica de México JA - APM VL - 35 IS - 1 SE - Artículo original DO - 10.18233/APM35No1pp19-25 UR - https://ojs.actapediatrica.org.mx/index.php/APM/article/view/1025 AB - Objective: Present tomographic data from the patients with emphasison structural characteristics.Material and method: Retrospective study of three patients in whom thefour pulmonary veins connected to the portal vein. This malformation isone of the varieties of total anomalous connection of pulmonary veins.In any of them, the pulmonary veins do not connect to the left atriumand blood from the lung reaches the right atrium directly or throughits tributary systems. In such cases, arterialized pulmonary blood andsystemic venous blood mix at the site of the anomalous connection anda short circuit is formed from the right atrium to the left atrium throughan interauricular communication, allowing patients to survive.Total anomalous connection of pulmonary veins accounts for between0.4 and 2.0% of congenital heart diseases: it occurs in 6.8 of every100,000 individuals. It is diagnosed in 68% of patients in neonatal stage,which reflects the severity of the condition. The infracardiac variety oftotal anomalous connection of pulmonary veins accounts for between15 and 26% if all its varieties. Multislice angiotomography allows us to view the blood vessels and adjacent organs under consideration and obtain high-definition anatomic information. In the patients in this study, total anomalous connection of pulmonary veins to the portal vein was viewed with three-dimensional volumetric tomographic reconstructions and their correlation with ultrasonography studies. ER -