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{{Template:Total anomalous pulmonary venous connection}}
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{{CMG}}
{{CMG}}; {{AE}} {{CZ}}; [[User:KeriShafer|Keri Shafer, M.D.]] [mailto:kshafer@bidmc.harvard.edu]; [[Priyamvada Singh|Priyamvada Singh, MBBS]] [mailto:psingh13579@gmail.com]; '''Assistant Editor-In-Chief:''' [[Kristin Feeney|Kristin Feeney, B.S.]] [[mailto:kfeeney@elon.edu]]


'''Associate Editor-In-Chief:'''{{CZ}}; [[User:KeriShafer|Keri Shafer, M.D.]] [mailto:kshafer@bidmc.harvard.edu] [[Priyamvada Singh|Priyamvada Singh, MBBS]] [[mailto:psingh@perfuse.org]]
==Overview==  
 
Medical therapy are primarily used to stabilize the patient of total anomalous pulmonary venous connection.
'''Assistant Editor-In-Chief:''' [[Kristin Feeney|Kristin Feeney, B.S.]] [[mailto:kfeeney@perfuse.org]]
 
=='''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
* Inotropic support in progressive heart failure .
* High ceiling diuretics like furesemide to help treating 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.
Patients with unobstructed TAPVC who present after the immediate newborn period with signs of pulmonary overcirculation may benefit from diuretic therapy. We generally use furosemide at an oral dose of 1 to 2 mg/kg given twice a day.


==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).<ref name="pmid6235060">{{cite journal| author=Lock JE, Bass JL, Castaneda-Zuniga W, Fuhrman BP, Rashkind WJ, Lucas RV| title=Dilation angioplasty of congenital or operative narrowings of venous channels. | journal=Circulation | year= 1984 | volume= 70 | issue= 3 | pages= 457-64 | pmid=6235060 | doi= | pmc= | url= }} </ref>
* Inotropic support in progressive [[heart failure]].
* High ceiling [[diuretic]]s 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==
==References==
{{reflist}}
{{reflist|2}}


[[Category:Cardiovascular system]]
[[Category:Cardiovascular system]]
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[[Category:Congenital heart disease]]
[[Category:Congenital heart disease]]
[[Category:Pediatrics]]
[[Category:Pediatrics]]
[[pl:Całkowite nieprawidłowe przyłączenie żył płucnych]]


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Latest revision as of 02:47, 9 April 2013


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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:

References

  1. 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.

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