Total anomalous pulmonary venous connection medical therapy: 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]; '''Assistant Editor-In-Chief:''' [[Kristin Feeney|Kristin Feeney, B.S.]] [[mailto:kfeeney@elon.edu]] | ||
==Overview== | ==Overview== | ||
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==Medical Therapy== | ==Medical Therapy== | ||
Prior to surgery the patients have to be stabilized. It may be achieved by: | 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.<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> | * 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. | * Inotropic support in progressive [[heart failure]]. | ||
* High ceiling | * High ceiling [[diuretic]]s like [[furosemide]] for [[pulmonary edema]]. | ||
* Prostaglandin therapy to keep the ductus patent. | * [[Prostaglandin]] therapy to keep the ductus patent. | ||
* Palliative angiography can be used to create atrial septostomy in severely obstructed total anomalous pulmonary venous connection. | * Palliative [[angiography]] can be used to create atrial septostomy in severely obstructed total anomalous pulmonary venous connection. | ||
==References== | ==References== | ||
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:
- 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.