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]]

Overview

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

Medical Therapy

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.

References

↑ Lock JE, Bass JL, Castaneda-Zuniga W, Fuhrman BP, Rashkind WJ, Lucas RV (1984). “Dilation angioplasty of congenital or operative narrowings of venous channels”. Circulation. 70 (3): 457–64. PMID 6235060.

Overview