Identifying Congenital Heart Disease in the Emergency Department: A Case of Total Anomalous Pulmonary Venous Return

An 8-day old male infant is sent to the emergency department by his pediatrician for weight loss, pallor, and respiratory distress. On arrival, the infant was found to be in shock. The infant was resuscitated and an echocardiogram revealed infradiaphragmatic total anomalous pulmonary venous return. This article will provide an overview of the prevalence, classification, clinical manifestations, diagnostic workup, and management of total anomalous pulmonary venous return.