{"id":12923,"date":"2014-07-28T16:28:50","date_gmt":"2014-07-28T16:28:50","guid":{"rendered":"http:\/\/cardiophile.org\/?p=12923"},"modified":"2022-11-23T16:58:26","modified_gmt":"2022-11-23T11:28:26","slug":"classical-chest-x-ray-finding-in-tapvc","status":"publish","type":"post","link":"https:\/\/johnsonfrancis.org\/professional\/classical-chest-x-ray-finding-in-tapvc\/","title":{"rendered":"Classical chest x-ray finding in TAPVC"},"content":{"rendered":"<p><iframe loading=\"lazy\" width=\"560\" height=\"315\" src=\"https:\/\/www.youtube.com\/embed\/KFb2t2I6ImA\" title=\"YouTube video player\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture\" allowfullscreen=\"\"><\/iframe><\/p>\n<h2><span style=\"color: #008000;\">What is the classical chest x-ray finding in TAPVC?<\/span><\/h2>\n<p>The classical chest x-ray finding in TAPVC (total anomalous pulmonary venous connection) is \u201csnow man in snow storm appearance\u201d. It is also called \u201cfigure of eight appearance\u201d and \u201ccottage loaf appearance\u201d. The lower part of the figure of eight is the heart and the upper part is contributed by the vertical vein on the left and dilated superior vena cava on the right side. The dilated left brachiocephalic vein forms the superior link. The snow man in snow storm description is because the lung fields are congested, mimicking snow storm.<\/p>\n<p>Classical X-Ray patterns may take some time to develop and may not be evident in very young infants. X-Ray of a typical \u2018Snowman\u2019 or \u2018cottage loaf\u2019 heart shape due to total anomalous pulmonary venous drainage has been demonstrated by J Somerville, V Grech and colleagues [1].<\/p>\n<p>Though TAPVC usually presents in early infancy, later presentations are not unknown. Norain Talib reported a woman presented at 33 years after having undergone a successful pregnancy and delivery [2]. Chest X-Ray showed the typical snowman appearance. Echocardiography showed large atrial septal defect with suspicion of pulmonary venous anomaly. She underwent cardiac catheterization and CT which confirmed supracardiac variety of TAPVC. She underwent successful surgical repair.<\/p>\n<p><span style=\"color: #0000ff;\"><strong>References<\/strong><\/span><\/p>\n<ol>\n<li>J Somerville, V Grech. <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3232600\/\">The Chest X-Ray in Congenital Heart Disease 1. Total Anomalous Pulmonary Venous Drainage and Coarctation of the Aorta<\/a>. Images Paediatr Cardiol. 2009 Jan;11(1):7-9.<\/li>\n<li>Norain Talib, Khairil Amir Sayuti, Mohd Shafie Abdullah, Mohd Rizal Mohd Zain. Beating the Odds: A Rare Case of Supracardiac Total Anomalous Pulmonary Venous Return (TAPVR) in an Adult Patient. BMJ Case Rep. 2018 Mar 5;2018:bcr2017221074.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>The classical chest x-ray finding in TAPVC (total anomalous pulmonary venous connection) is \u201csnow man in snow storm appearance\u201d<\/p>\n","protected":false},"author":1,"featured_media":33768,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"nf_dc_page":"","footnotes":""},"categories":[9],"tags":[744,952,1148,1152,1482,2243,2377,3632,3846,4186],"class_list":["post-12923","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-general","tag-chest-x-ray-finding-in-tapvc","tag-cottage-loaf-appearance","tag-dilated-left-brachiocephalic-vein","tag-dilated-superior-vena-cava","tag-figure-of-eight-appearance","tag-lung-fields-are-congested","tag-mimicking-snow-storm","tag-snow-man-in-snow-storm-appearance","tag-tapvc","tag-vertical-vein"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Classical chest x-ray finding in TAPVC - total anomalous pulmonary veins<\/title>\n<meta name=\"description\" content=\"The classical chest x-ray finding in TAPVC (total anomalous pulmonary venous connection) is \u201csnow man in snow storm appearance\u201d\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/johnsonfrancis.org\/professional\/classical-chest-x-ray-finding-in-tapvc\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Classical chest x-ray finding in TAPVC - total anomalous pulmonary veins\" \/>\n<meta property=\"og:description\" content=\"The classical chest x-ray finding in TAPVC (total anomalous pulmonary venous connection) is \u201csnow man in snow storm appearance\u201d\" \/>\n<meta property=\"og:url\" content=\"https:\/\/johnsonfrancis.org\/professional\/classical-chest-x-ray-finding-in-tapvc\/\" \/>\n<meta property=\"og:site_name\" content=\"All About Cardiovascular System and Disorders\" \/>\n<meta property=\"article:published_time\" content=\"2014-07-28T16:28:50+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2022-11-23T11:28:26+00:00\" \/>\n<meta name=\"author\" content=\"Johnson Francis\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Johnson Francis\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/classical-chest-x-ray-finding-in-tapvc\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/classical-chest-x-ray-finding-in-tapvc\\\/\"},\"author\":{\"name\":\"Johnson Francis\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#\\\/schema\\\/person\\\/5441d907049b914770f4bd98fb57feec\"},\"headline\":\"Classical chest x-ray finding in TAPVC\",\"datePublished\":\"2014-07-28T16:28:50+00:00\",\"dateModified\":\"2022-11-23T11:28:26+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/classical-chest-x-ray-finding-in-tapvc\\\/\"},\"wordCount\":276,\"publisher\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#\\\/schema\\\/person\\\/5441d907049b914770f4bd98fb57feec\"},\"image\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/classical-chest-x-ray-finding-in-tapvc\\\/#primaryimage\"},\"thumbnailUrl\":\"\",\"keywords\":[\"chest x-ray finding in TAPVC\",\"cottage loaf appearance\",\"dilated left brachiocephalic vein\",\"dilated superior vena cava\",\"figure of eight appearance\",\"lung fields are congested\",\"mimicking snow storm\",\"snow man in snow storm appearance\",\"TAPVC\",\"vertical vein\"],\"articleSection\":[\"General Cardiology\"],\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/classical-chest-x-ray-finding-in-tapvc\\\/\",\"url\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/classical-chest-x-ray-finding-in-tapvc\\\/\",\"name\":\"Classical chest x-ray finding in TAPVC - total anomalous pulmonary veins\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/classical-chest-x-ray-finding-in-tapvc\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/classical-chest-x-ray-finding-in-tapvc\\\/#primaryimage\"},\"thumbnailUrl\":\"\",\"datePublished\":\"2014-07-28T16:28:50+00:00\",\"dateModified\":\"2022-11-23T11:28:26+00:00\",\"description\":\"The classical chest x-ray finding in TAPVC (total anomalous pulmonary venous connection) is \u201csnow man in snow storm appearance\u201d\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/classical-chest-x-ray-finding-in-tapvc\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/classical-chest-x-ray-finding-in-tapvc\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/classical-chest-x-ray-finding-in-tapvc\\\/#primaryimage\",\"url\":\"\",\"contentUrl\":\"\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/classical-chest-x-ray-finding-in-tapvc\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Classical chest x-ray finding in TAPVC\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#website\",\"url\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/\",\"name\":\"All About Cardiovascular System and Disorders\",\"description\":\"\",\"publisher\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#\\\/schema\\\/person\\\/5441d907049b914770f4bd98fb57feec\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":[\"Person\",\"Organization\"],\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#\\\/schema\\\/person\\\/5441d907049b914770f4bd98fb57feec\",\"name\":\"Johnson Francis\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g\",\"url\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g\",\"contentUrl\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g\",\"caption\":\"Johnson Francis\"},\"logo\":{\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g\"},\"description\":\"Former Professor of Cardiology, Calicut Govt. Medical Kozhikode, Kerala, India. Editor-in-Chief, BMH Medical Journal\",\"url\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/author\\\/jf\\\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Classical chest x-ray finding in TAPVC - total anomalous pulmonary veins","description":"The classical chest x-ray finding in TAPVC (total anomalous pulmonary venous connection) is \u201csnow man in snow storm appearance\u201d","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/johnsonfrancis.org\/professional\/classical-chest-x-ray-finding-in-tapvc\/","og_locale":"en_US","og_type":"article","og_title":"Classical chest x-ray finding in TAPVC - total anomalous pulmonary veins","og_description":"The classical chest x-ray finding in TAPVC (total anomalous pulmonary venous connection) is \u201csnow man in snow storm appearance\u201d","og_url":"https:\/\/johnsonfrancis.org\/professional\/classical-chest-x-ray-finding-in-tapvc\/","og_site_name":"All About Cardiovascular System and Disorders","article_published_time":"2014-07-28T16:28:50+00:00","article_modified_time":"2022-11-23T11:28:26+00:00","author":"Johnson Francis","twitter_card":"summary_large_image","twitter_misc":{"Written by":"Johnson Francis","Est. reading time":"1 minute"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/johnsonfrancis.org\/professional\/classical-chest-x-ray-finding-in-tapvc\/#article","isPartOf":{"@id":"https:\/\/johnsonfrancis.org\/professional\/classical-chest-x-ray-finding-in-tapvc\/"},"author":{"name":"Johnson Francis","@id":"https:\/\/johnsonfrancis.org\/professional\/#\/schema\/person\/5441d907049b914770f4bd98fb57feec"},"headline":"Classical chest x-ray finding in TAPVC","datePublished":"2014-07-28T16:28:50+00:00","dateModified":"2022-11-23T11:28:26+00:00","mainEntityOfPage":{"@id":"https:\/\/johnsonfrancis.org\/professional\/classical-chest-x-ray-finding-in-tapvc\/"},"wordCount":276,"publisher":{"@id":"https:\/\/johnsonfrancis.org\/professional\/#\/schema\/person\/5441d907049b914770f4bd98fb57feec"},"image":{"@id":"https:\/\/johnsonfrancis.org\/professional\/classical-chest-x-ray-finding-in-tapvc\/#primaryimage"},"thumbnailUrl":"","keywords":["chest x-ray finding in TAPVC","cottage loaf appearance","dilated left brachiocephalic vein","dilated superior vena cava","figure of eight appearance","lung fields are congested","mimicking snow storm","snow man in snow storm appearance","TAPVC","vertical vein"],"articleSection":["General Cardiology"],"inLanguage":"en-US"},{"@type":"WebPage","@id":"https:\/\/johnsonfrancis.org\/professional\/classical-chest-x-ray-finding-in-tapvc\/","url":"https:\/\/johnsonfrancis.org\/professional\/classical-chest-x-ray-finding-in-tapvc\/","name":"Classical chest x-ray finding in TAPVC - total anomalous pulmonary veins","isPartOf":{"@id":"https:\/\/johnsonfrancis.org\/professional\/#website"},"primaryImageOfPage":{"@id":"https:\/\/johnsonfrancis.org\/professional\/classical-chest-x-ray-finding-in-tapvc\/#primaryimage"},"image":{"@id":"https:\/\/johnsonfrancis.org\/professional\/classical-chest-x-ray-finding-in-tapvc\/#primaryimage"},"thumbnailUrl":"","datePublished":"2014-07-28T16:28:50+00:00","dateModified":"2022-11-23T11:28:26+00:00","description":"The classical chest x-ray finding in TAPVC (total anomalous pulmonary venous connection) is \u201csnow man in snow storm appearance\u201d","breadcrumb":{"@id":"https:\/\/johnsonfrancis.org\/professional\/classical-chest-x-ray-finding-in-tapvc\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/johnsonfrancis.org\/professional\/classical-chest-x-ray-finding-in-tapvc\/"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/johnsonfrancis.org\/professional\/classical-chest-x-ray-finding-in-tapvc\/#primaryimage","url":"","contentUrl":""},{"@type":"BreadcrumbList","@id":"https:\/\/johnsonfrancis.org\/professional\/classical-chest-x-ray-finding-in-tapvc\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/johnsonfrancis.org\/professional\/"},{"@type":"ListItem","position":2,"name":"Classical chest x-ray finding in TAPVC"}]},{"@type":"WebSite","@id":"https:\/\/johnsonfrancis.org\/professional\/#website","url":"https:\/\/johnsonfrancis.org\/professional\/","name":"All About Cardiovascular System and Disorders","description":"","publisher":{"@id":"https:\/\/johnsonfrancis.org\/professional\/#\/schema\/person\/5441d907049b914770f4bd98fb57feec"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/johnsonfrancis.org\/professional\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":["Person","Organization"],"@id":"https:\/\/johnsonfrancis.org\/professional\/#\/schema\/person\/5441d907049b914770f4bd98fb57feec","name":"Johnson Francis","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/secure.gravatar.com\/avatar\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g","caption":"Johnson Francis"},"logo":{"@id":"https:\/\/secure.gravatar.com\/avatar\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g"},"description":"Former Professor of Cardiology, Calicut Govt. Medical Kozhikode, Kerala, India. Editor-in-Chief, BMH Medical Journal","url":"https:\/\/johnsonfrancis.org\/professional\/author\/jf\/"}]}},"amp_enabled":true,"_links":{"self":[{"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/posts\/12923","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/comments?post=12923"}],"version-history":[{"count":2,"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/posts\/12923\/revisions"}],"predecessor-version":[{"id":56849,"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/posts\/12923\/revisions\/56849"}],"wp:attachment":[{"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/media?parent=12923"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/categories?post=12923"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/tags?post=12923"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}