E-page Original Images: Partial anomalous pulmonary venous return associated with coarctation of the aorta

A six-year-old male patient was referred to our hospital with the diagnosis of coarctation of aorta. On his physical examination femoral pulses were weak and blood pressure on his right arm was 120/60 mmHg and the blood pressure in the lower extremities was 90/60 mmHg. A 2/6 grade systolic ejection murmur, which was transmitted to the neck, was heard best on the neck between the scapulas and also at the mesocardial region. The electrocardiogram showed right axis deviation and right ventricular hypertrophy. His chest X-ray was normal. Echocardiographic examination revealed mild narrowing of the descending aorta just below the origin of the left subclavian artery and the left superior pulmonary vein was not demonstrated on the view of suprasternal position.