Introduction
A rare but clinically important association is that of anomalous pulmonary venous connection with tetralogy of Fallot (TOF). In repaired TOF patients, right ventricle (RV) dilatation and dysfunction are common sequelae which pulmonary valve regurgitation (PR), residual ventricular septal defects, and pulmonary artery stenosis are well known contributing factors. The presence of partial anomalous pulmonary venous return (PAPVR), however, is a rare risk factor. Herein, we report a surgical case of unique pattern of PAPVR in a 19-year-old male who had previously received TOF correction. Appropriate consent forms were obtained from the patient.