Total anomalous pulmonary venous connection natural history, complications and prognosis: Difference between revisions
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{{Template:Total anomalous pulmonary venous connection}} | {{Template:Total anomalous pulmonary venous connection}} | ||
{{CMG}} | {{CMG}}; {{AE}} {{CZ}}; [[User:KeriShafer|Keri Shafer, M.D.]] [mailto:kshafer@bidmc.harvard.edu] [[Priyamvada Singh|Priyamvada Singh, MBBS]] [mailto:psingh13579@gmail.com]; {{RT}}; '''Assistant Editor-In-Chief:''' [[Kristin Feeney|Kristin Feeney, B.S.]] [mailto:kfeeney@elon.edu] | ||
==Overview== | ==Overview== | ||
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==Natural History== | ==Natural History== | ||
The natural history of untreated patients of total anomalous pulmonary venous connection depends on: | The natural history of untreated patients of total anomalous pulmonary venous connection depends on: | ||
* Type of obstruction (unobstructed, obstructed) | * Type of obstruction (unobstructed, obstructed) | ||
* Type of anatomic variant(cardiac, infracardiac or supracardiac) | * Type of anatomic variant(cardiac, infracardiac or supracardiac) | ||
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Untreated patients:<ref name="pmid13806293">{{cite journal| author=BURROUGHS JT, EDWARDS JE| title=Total anomalous pulmonary venous connection. | journal=Am Heart J | year= 1960 | volume= 59 | issue= | pages= 913-31 | pmid=13806293 | doi= | pmc= | url= }} </ref> | Untreated patients:<ref name="pmid13806293">{{cite journal| author=BURROUGHS JT, EDWARDS JE| title=Total anomalous pulmonary venous connection. | journal=Am Heart J | year= 1960 | volume= 59 | issue= | pages= 913-31 | pmid=13806293 | doi= | pmc= | url= }} </ref> | ||
* Patients with severe obstruction may not be able to survive beyond few months of life. | * Patients with severe obstruction may not be able to survive beyond few months of life. | ||
* 8 out of 10 patients with small interatrial connections and obstruction die as an infant. | * 8 out of 10 patients with small interatrial connections and obstruction die as an infant. | ||
* The presentation of patients with unobstructed TAPVC and large interatrial shunting may vary from asymptomatic to symptoms due to progressive right heart failure. | * The presentation of patients with unobstructed TAPVC and large interatrial shunting may vary from asymptomatic to symptoms due to progressive right heart failure. | ||
==Complications== | |||
Complications of TAPVC include: | |||
* Breathing difficulties | |||
* [[Dysrhythmia]]s | |||
* Pulmonary infections | |||
* [[Heart failure]] | |||
Long-term complications include: | |||
* [[Dysrhythmia]]s | |||
* [[Pulmonary hypertension]] | |||
==Prognosis== | ==Prognosis== | ||
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{{reflist|2}} | {{reflist|2}} | ||
[[Category:Cardiovascular system]] | [[Category:Cardiovascular system]] | ||
[[Category:Cardiology]] | [[Category:Cardiology]] |
Latest revision as of 02:42, 9 April 2013
Total anomalous pulmonary venous connection Microchapters |
Differentiating Total anomalous pulmonary venous connection from other Diseases |
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Diagnosis |
Treatment |
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Total anomalous pulmonary venous connection natural history, complications and prognosis On the Web |
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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]; Raviteja Guddeti, M.B.B.S. [5]; Assistant Editor-In-Chief: Kristin Feeney, B.S. [6]
Overview
The natural history of untreated patients of TAPVC is not very favorable. It depends on the type of obstruction and amount of shunting across the atrium.
Natural History
The natural history of untreated patients of total anomalous pulmonary venous connection depends on:
- Type of obstruction (unobstructed, obstructed)
- Type of anatomic variant(cardiac, infracardiac or supracardiac)
- Amount of right-to-left shunting
Untreated patients:[1]
- Patients with severe obstruction may not be able to survive beyond few months of life.
- 8 out of 10 patients with small interatrial connections and obstruction die as an infant.
- The presentation of patients with unobstructed TAPVC and large interatrial shunting may vary from asymptomatic to symptoms due to progressive right heart failure.
Complications
Complications of TAPVC include:
- Breathing difficulties
- Dysrhythmias
- Pulmonary infections
- Heart failure
Long-term complications include:
Prognosis
Prognosis of total anomalous pulmonary venous depends on whether the surgery has been done with the patient. Without surgery, death may occur by age one in babies with more severe defects.