ANOMALOUS PULMONARY VENOUS RETURN, PULMONARY SEQUESTRATION, BRONCHIAL ATRESIA, APLASTIC RIGHT UPPER LOBE, PERICARDIAL DEFECT AND INTRATHORACIC KIDNEY

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Abstract
An unusual case is reported in which 6 distinct anomalies with 2 apparently secondary abnormalities were present. These have been demonstrated by means of angiography and bronchography.By using bronchography and particularly angiography early, we were able to identify the thoracic abnormalities and avoid exploratory operation.In addition, the roentgenologic appearance of the sequestration and of the anomalous pulmonary venous return, provided more than one possible explanation for the mild fatigue and minimal dyspnea the patient had.Operative correction would entail a very radical procedure in view of the numerous anomalies present; however, since the patient's symptoms were minimal, it was not advised.