title: TAPVR in a kindergartner presenting with fatigue.
abstract: We present a case of late diagnosis of cyanotic heart disease in a kindergartner, as a contemporary reminder of the importance of the history and clinical examination in the assessment of paediatric patients. In addition, this case illustrates the complementary diagnostic value of various cardiac imaging modalities in understanding pulmonary venous drainage.
authors.affiliation: Department of Pediatrics, Division of Cardiology, Medical College of Wisconsin, Milwaukee, Wisconsin, USA Herma Heart Center, Children's Hospital of Wisconsin, Milwaukee, Wisconsin, USA.
authors.forename: Margaret M
authors.initials: MM
authors.lastname: Samyn
authors.affiliation: Department of Pediatrics, Sacred Heart Children's Hospital, Spokane, Washington, USA.
authors.forename: Jennifer M
authors.initials: JM
authors.lastname: Plymale
authors.affiliation: Department of Pediatrics, Prevea Health, Green Bay, Wisconsin, USA.
authors.forename: Anthony J
authors.initials: AJ
authors.lastname: Cousineau
authors.affiliation: Herma Heart Center, Children's Hospital of Wisconsin, Milwaukee, Wisconsin, USA Department of Surgery, Division of Cardiothoracic Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
authors.forename: James S
authors.initials: JS
authors.lastname: Tweddell
mesh_terms: D002675:Child, Preschool; D005221:Fatigue / Q000175:diagnosis* / Q000209:etiology; D005260:Female; D006330:Heart Defects, Congenital / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D011667:Pulmonary Veins; D012587:Scimitar Syndrome / Q000150:complications / Q000175:diagnosis*