Conclusion
Tetralogy of Fallot is rarely associated with anomalous pulmonary venous
return. Careful assessment of the pulmonary venous connection is
required in all patients with TOF since PAPVR can accelerate RV
dilatation, RV dysfunction, and PR. As rerouting the anomalous pulmonary
drainage to the hepatic vein, using the venous plexus between the
hepatic veins should be considered.