AUTHOR=Tang Jianjun , Wu Zhihong , He Jia , Hu Qingdan , Yao Jun , Hu Lin , Zhou Shenghua , Chen Mingxian 

TITLE=Case Report: A Huge Calabash Heart: A Rare Case of Supracardiac Total Anomalous Pulmonary Venous Return

JOURNAL=Frontiers in Cardiovascular Medicine

VOLUME=Volume 9 - 2022

YEAR=2022

URL=https://www.frontiersin.org/journals/cardiovascular-medicine/articles/10.3389/fcvm.2022.942808

DOI=10.3389/fcvm.2022.942808

ISSN=2297-055X

ABSTRACT=A 46-year-old female was admitted to cardiovascular department because of a 3-month history of palpitations and exertional dyspnea. She had a history of a successful pregnancy at very young age. Chest radiograph presented a classical ‘calabash’ configuration. Echocardiogram discovered a large atrial septal defect with a suspected pulmonary vein abnormality. Cardiac CT revealed supracardiac total anomalous pulmonary venous return, whereby all the pulmonary veins drain into vertical vein and finally to the superior vena cava. Cardiac catheterisation was consistent with anomalous pulmonary venous drainage without pulmonary hypertension. Finally, she underwent a successful surgical repair and appeared asymptomatic before her discharge.