Total anomalous pulmonary venous connection natural history, complications and prognosis: Difference between revisions
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==Overview== | ==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. | 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== | ==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) | ||
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* Amount of right-to-left shunting | * Amount of right-to-left shunting | ||
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. | ||
==Prognosis== | ==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. | 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. | ||
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{{reflist|2}} | {{reflist|2}} | ||
[[Category:Needs content]] | |||
[[Category:Cardiovascular system]] | [[Category:Cardiovascular system]] | ||
[[Category:Cardiology]] | [[Category:Cardiology]] |
Revision as of 19:11, 5 March 2013
Total anomalous pulmonary venous connection Microchapters |
Differentiating Total anomalous pulmonary venous connection from other Diseases |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor-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
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.
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.