The echocardiographic diagnosis and pre- and postoperative assessment of total anomalous pulmonary venous return in the coronary sinus in a nursing infant

The author reports a case of total anomalous pulmonary venous drainage in a coronary sinus diagnosed using mono- and bidimensional ECG. ECG showed right ventricular strain, the reduced dimension of the left cavities, an echo-free space behind the left atrium referable to the venous collector tubule and a dilated coronary sinus. When ECG data were evaluated in the clinical context total anomalous pulmonary venous drainage in a coronary sinus was diagnosed and subsequently confirmed by intraoperative findings. The author underlines the value of ECG examination and in particular bi-dimensional ECG in the non-invasive diagnosis and pre- and postoperative evaluation of total anomalous pulmonary venous drainage in a coronary sinus in a neonate.