Total anomalous pulmonary venous connection medical therapy

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Cafer Zorkun, M.D., Ph.D. [2]; Keri Shafer, M.D. [3]; Priyamvada Singh, MBBS [4]; Assistant Editor-In-Chief: Kristin Feeney, B.S. [[5]]

Medical therapy are primarily used to stabilize the patient of total anomalous pulmonary venous connection.

Prior to surgery the patients have to be stabilized. It may be achieved by:

• Giving respiratory support by supplemental oxygen, mechanical ventilation, extracorporeal membrane oxygenation (ECMO).^[1]
• Inotropic support in progressive heart failure.
• High ceiling diuretics like furosemide for pulmonary edema.
• Prostaglandin therapy to keep the ductus patent.
• Palliative angiography can be used to create atrial septostomy in severely obstructed total anomalous pulmonary venous connection.

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