title: An unusual constellation of congenital malformations in a single patient including partial anomalous pulmonary venous return, persistent left superior vena cava, aberrant pulmonary fissure, anomalous aortic arch, tracheal diverticulum and annular pancreas.
abstract: We report a case of a male patient with a constellation of rare congenital anomalies consisting of: partial anomalous pulmonary venous return (PAPVR), persistent left superior vena cava, 'bovine arch' aortic branching, tracheal diverticulum, aberrant lung fissure anatomy and an annular pancreas. He had presented with a history of worsening dyspnoea. To the best of our knowledge, this is the first reported case of a single patient with such a vast constellation of anomalies. The radiological evaluations, epidemiology, embryology and clinical features of the anomalies are discussed. It is important for radiologists to be aware of each of these anomalies as distinct entities; detection of a single anomaly should alert to the possibility that further anatomic aberrancies may be present.
authors.affiliation: St. George's University of London, London, UK.
authors.forename: T
authors.initials: T
authors.lastname: Lapa
authors.affiliation: Imaging Partners Online, Sydney, New South Wales, Australia.
authors.forename: J
authors.initials: J
authors.lastname: Vedelago
authors.affiliation: Department of Radiology, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia.
authors.forename: H
authors.initials: H
authors.lastname: Kim
authors.affiliation: Department of Radiology, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia.
authors.forename: E
authors.initials: E
authors.lastname: Patrick
mesh_terms: D000015:Abnormalities, Multiple / Q000000981:diagnostic imaging; D001013:Aorta, Thoracic / Q000002:abnormalities; D001015:Aortic Arch Syndromes / Q000000981:diagnostic imaging; D004240:Diverticulum / Q000000981:diagnostic imaging; D004417:Dyspnea / Q000000981:diagnostic imaging / Q000209:etiology; D006331:Heart Diseases / Q000150:complications / Q000000981:diagnostic imaging; D006801:Humans; D008168:Lung / Q000002:abnormalities*; D008297:Male; D008875:Middle Aged; D010179:Pancreas / Q000002:abnormalities* / Q000000981:diagnostic imaging; D010182:Pancreatic Diseases / Q000000981:diagnostic imaging; D011667:Pulmonary Veins / Q000002:abnormalities; D011859:Radiography; D012587:Scimitar Syndrome / Q000000981:diagnostic imaging; D014132:Trachea / Q000002:abnormalities*; D054079:Vascular Malformations / Q000000981:diagnostic imaging; D014683:Vena Cava, Superior / Q000002:abnormalities