Вальсальва

I renew the post,here is the second possibility: LAD is obscured by GCV draining to RAA,Mr Gibreel CT image.
"Broken Triangle Broq and de Mouchet"
Very likely, so near an anomalous GCV and LAD,isn'it?

IVC continuity 6 and 7.

Do you want CT images to see? I mean this woman from last post?
Can you see an anomalous vein?
Image 5- IVC NOT interrupted to be continued,if you are interested in,my friends.
Are you?

Very educative,sir.But is'nt the probe a little too great for a newborn on an image?

the second case; 37 y old woman, a case from 2020.
Some clips are too large> 5 MGB,but I try to converse.

Here is an image with a description from the Net,not mine case,but very similar,one can say" the same case"

the second case soon with CT and VR.

LBBB Cardiomyopathy- see Canadian Echo Society"Cases from coast to coast" or something like that.

Movie clips- last of this.

Prominent verticale vein along Aorta descendens,side by side but the flow direction to determinate.

The first but not the last.
Examination from 2016 y,four years follow up without symptoms besides palpitations, known from childhood.
PW doppler pattern characteristic .

In both cases IVC is NOT interrupted.

I have two women, 37 y old and 35 y old, with left sided PAPVR > left upper pulmonary vein via vertical vein to left innominate vein, one woman has CLE too, CLE- congenital lobar emphysema/Q33.8 Orphanet classifiction.Do you want to see some echo clips and CT? VR made by prof.JD Kasprzak from Łódź/P...

Blue flow is normal SVC

Normal anatomy another patient-60 y old woman with obesity.PVS-pulmonary vein superior