CASE 1
An 11-year-old male adolescent He applied to the pediatric cardiology outpatient clinic in order to obtain a health report for participation in sports activities. No cardiac pathological finding was detected during the physical examination of the patient. Transthoracic echocardiography showed (TTE ) a pattern of flow towards innominate vein, that was not appropriate for the pulmonary vein and other cardiac structural structures were normal. Computed tomography (CT) was performed for further evaluation of the anomalous communication between innominate vein and left atrium. Computed tomography clearly demonsrated an anomalous vessel joining the innominate vein and the left atrium(Fig 1 ). Catheter anjıography was performed. During angiopraphy when a radiopaque contrast agent was administered to the innominate vein, it was observed that the solution filled the LACV first and then the left atrium (Fig 2 ). Initially, closure of the patient was attempted with a vascular plate, but the closure procedure was unsuccessful. Therefore, LACV ligation was applied to the patient surgically. The patient is currently being followed up without any problem.