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(A) A frontal view of the chest in a 4-week-old infant presenting to the emergency department (ED) with tachypnea shows a “snowman” or a “figure of 8” appearance that is characteristic for supracardiac type of TAPVR. This appearance is secondary to the anomalous pulmonary veins draining into a dilated innominate vein. (B) A frontal view of the chest in a 6-day-old neonate presenting to the ED with severe cyanosis, lethargy, and poor feeding shows a ground-glass appearance secondary to obstructed pulmonary veins and a right pleural effusion. Echocardiogram demonstrated an infracardiac type of TAPVR. (Photo contributor: Shyam Sathanandam, MD.) Source: Chapter 5. Cardiology, Atlas of Pediatric Emergency Medicine, 2e Citation: Shah BR, Lucchesi M, Amodio J, Silverberg M. Atlas of Pediatric Emergency Medicine, 2e; 2013 Available at: Accessed: November 01, 2017 Copyright © 2017 McGraw-Hill Education. All rights reserved
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