CASE 2
5 years old male patient. Since his brother was diagnosed with LACV anomaly, he was brought to the pediatric cardiology outpatient clinic for control purposes. Physical examination was normal and no cardiac pathology was detected. That’s why transthoracic echocardiography (TTE) was done. Transthoracic echocardiogram showed an anomalous vein communicating between the innominate vein and the left atrium. The patient’s pulmonary venous return was normal, and other cardiac morphological structures were also normal. Computed tomography (CT) was performed for further evaluation of the anomalous communication. This showed anomalous vessel between the pulmoner vein and the innominate vein, was compatible with LACV ( Fig 3). Cardiac catheterization was performed and revealed a left to right shunt. Radiopaque contrast agent was administered to the innominate vein, it was observed that the solution filled the LACV first and then the left superior pulmonary vein (Fig 4 ).