Unique Anomalous Left Brachiocephalic Vein in a Child With Tetralogy of Fallot

A three-month-old child presented with complaints of recurrent cyanotic spells and failure to thrive.Transthoracic 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 (Figures A & B, black star) , aorticoverriding and right ventricular infundibular stenosis(Figure B, black arrow) with hypoplastic confluent