{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:23:22Z","timestamp":1787840602235,"version":"build-2784847793"},"reference-count":4,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"6","license":[{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:p>Congenital heart disease may coexist with airway abnormalities, increasing perioperative risk. We report a 2-year-old girl with a complete atrioventricular canal defect (CAVCD), left superior vena cava (LSVC), and severe pulmonary hypertension, in whom multimodality imaging was pivotal for diagnosis and management. Transthoracic echocardiography confirmed CAVCD, LSVC, and severe pulmonary hypertension. Preoperative computed tomography demonstrated left pulmonary artery compression of the left main bronchus and a suspected cor triatriatum. Intraoperative bronchoscopy revealed left bronchomalacia, while transesophageal echocardiography identified a dilated coronary sinus as the cause of left atrial inflow turbulence, excluding cor triatriatum. Surgical management included CAVCD repair and LSVC anastomosis to the right atrial appendage. Post\u2013cardiopulmonary bypass echocardiography showed no residual atrioventricular valve regurgitation or inflow gradient. Lung ultrasound prior to extubation excluded left lung collapse. This case highlights the role of multimodality imaging in guiding diagnosis, surgical planning, and safe perioperative management.<\/jats:p>","DOI":"10.4103\/apc.apc_261_25","type":"journal-article","created":{"date-parts":[[2026,3,16]],"date-time":"2026-03-16T12:00:20Z","timestamp":1773662420000},"page":"628-631","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Multimodality imaging in a child with complete atrioventricular canal defect, left superior vena cava, and airway compression: Echocardiography, bronchoscopy, and lung ultrasound insights"],"prefix":"10.4103","volume":"18","author":[{"given":"Rajesh Madavathazathil","family":"Gopalakrishnan","sequence":"first","affiliation":[{"name":"Department of Pediatric Cardiac Anesthesia and Intensive Care, Amrita Institute of Medical Sciences and Research Centre, Faridabad, Haryana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shashikapoor","family":"Yadav","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology, Amrita Institute of Medical Sciences and Research Centre, Faridabad, Haryana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashish","family":"Katewa","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiac Surgery, Amrita Institute of Medical Sciences and Research Centre, Faridabad, Haryana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,3,16]]},"reference":[{"key":"R1-20260416","doi-asserted-by":"crossref","first-page":"603","DOI":"10.1016\/j.ihj.2013.08.024","article-title":"Isolated persistent left-sided superior vena cava, giant coronary sinus, atrial tachycardia and heart failure in a child","volume":"65","author":"Moorthy","year":"2013","journal-title":"Indian Heart J"},{"key":"R2-20260416","doi-asserted-by":"crossref","first-page":"1114","DOI":"10.1016\/0003-4975(94)90468-5","article-title":"Can a dilated coronary sinus produce left ventricular inflow obstruction? An unrecognized entity","volume":"58","author":"Cochrane","year":"1994","journal-title":"Ann Thorac Surg"},{"key":"R3-20260416","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1016\/j.athoracsur.2006.02.062","article-title":"Surgical approach to left ventricular inflow obstruction due to dilated coronary sinus","volume":"82","author":"Vargas","year":"2006","journal-title":"Ann Thorac Surg"},{"key":"R4-20260416","doi-asserted-by":"crossref","first-page":"110","DOI":"10.1186\/s13244-020-00906-2","article-title":"Persistent left superior vena cava: Clinical importance and differential diagnoses","volume":"11","author":"Azizova","year":"2020","journal-title":"Insights Imaging"}],"container-title":["Annals of Pediatric Cardiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/apc.apc_261_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T13:25:45Z","timestamp":1787837145000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/apc.apc_261_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11]]},"references-count":4,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/apc.apc_261_25","relation":{},"ISSN":["0974-2069","0974-5149"],"issn-type":[{"value":"0974-2069","type":"print"},{"value":"0974-5149","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11]]},"assertion":[{"value":"2025-09-13","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-09","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}