Unique anomalous left brachiocephalic vein in a child with tetralogy of fallot

A 3-month-old child presented with complaints of recurrent cyanotic spells and failure to thrive. Trans-thoracic echocardiography showed a subaortic ventricular septal defect (VSD) with aortic-overriding and pulmonary atresia suggestive of tetralogy of fallot (TOF) morphology. Computed tomography angiography was performed for further evaluation and confirmed a subaortic VSD (Figure 1A Writing—original draft; Writing—review and editing. Pratyaksha Rana: Conceptualization; Writing—original draft; Writing—review and editing. Megha M Sheth: Supervision. Hit Jivani: Writing—review and editing. T M Harishkar: Writing—review and editing. The authors declare no conflict of interest. Yes, the data that support the findings of this study are available on request from the corresponding author. According to our institutional ethics committee policy (U.N. Mehta Institute of Cardiology and Research Centre, Ahmedabad), ethical clearance is not required for a case report/image correspondence. Deidentified image data of the patient was used in retrospective manner from the radiological archive of the department. Hence, consent was not obtained/applicable. No animals or humans were used nor harmed for this research manuscript.