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A possible role for steroid therapy in preventing postoperative stenosis in totally anomalous pulmonary venous connection

Published online by Cambridge University Press:  19 August 2008

Andrew Sands ,
Brian Craig  and
Frank Casey
Andrew Sands*
Affiliation:
Department of Paediatric Cardiology, Royal Belfast Hospital for Sick Children, Belfast
Brian Craig
Affiliation:
Department of Paediatric Cardiology, Royal Belfast Hospital for Sick Children, Belfast
Frank Casey
Affiliation:
Department of Paediatric Cardiology, Royal Belfast Hospital for Sick Children, Belfast
*
Dr Andrew J. Sands, Dept. of Paediatric Cardiology, Royal Belfast Hospital for Sick Children, 180 Falls Rd, Belfast BT12 6BE. Tel: 44 1232 240503 (2001), Fax: 44 1232 235340.
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Abstract

We report three cases of pulmonary venous stenosis developing after repair of totally anomalous pulmonary venous connection. In each case, we used steroids as a therapeutic measure following re-operation. In two cases, we were successful in preventing significant re-stenosis. The third patient rapidly developed stenosis (mean pulmonary wedge pressure approximately 20 mmHg at cardiac catheterisation) after stopping steroids. This patient subsequently died after a third operation. The remaining patients continue to do well.

Keywords

Totally anomalous pulmonary venous connectionpostoperative venous stenosissteroids
Type
Brief Reports
Information
Cardiology in the Young , Volume 8 , Issue 2 , April 1998 , pp. 240 - 242
Copyright
Copyright © Cambridge University Press 1998

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References

1.Lupinetti, FM, Kulik, TJ, Beckman, RH 3rd., Crowley, DC, Bove, EL.Correction of total anomalous pulmonary venous connection in infancy. J Thorac Cardiovasc Surg 1993; 106: 880–885.CrossRefGoogle ScholarPubMed
2.Jenkins, KJ, Sanders, SP, Orav, EJ, Coleman, EA, Mayer, JE Jr, Colan, SD.Individual pulmonary vein size and survival in infants with total anomalous pulmonary venous connection. J Amer Coil Cardiol 1993; 22: 201–206.CrossRefGoogle Scholar
3.Rordam, S, Abdelnoor, M, Sorland, S, Tjonneland, S.Factors influencing survival in total anomalous pulmonary venous drainage. Sc J Thorac Cardiovasc Surg 1994; 28: 55–60.Google ScholarPubMed
4.Fukushima, Y, Omitsuka, T, Nakamura, K, Yoshioka, M, Kuwabara, M, Koga, Y.A simple method for excising pulmonary venous obstruction after repair of total anomalous pulmonary venous drainage. Jpn Circ J 1994; 58: 805–807.CrossRefGoogle ScholarPubMed
5.Cooley, DA, Hallman, GL, Leachman, RD.Total anomalous pulmonary venous drainage. Correction with the use of cardiopulmonary bypass in 62 cases. J Thorac Cardiovasc Surg 1966; 51: 88–102.CrossRefGoogle ScholarPubMed
6.Dickinson, DF, Parimelazhagan, KM, Tweedie, MCK, West, CR, Piccoli, GP, Musumeci, F, Hamilton, DI.Total anomalous pulmonary venous connection. Repair using deep hypothermia and circulatory arrest in 44 consecutive infants. Brit Heart J 1982; 48: 249–254.CrossRefGoogle ScholarPubMed
7.Haworth, SG.Total anomalous pulmonary venous return. Prenatal damage to pulmonary vascular bed and extrapulmonary veins. Brit Heart J 1982; 48: 513–524.CrossRefGoogle ScholarPubMed
8.Haworth, SG, Reid, L.Structural study of pulmonary circulation and of heart in total anomalous pulmonary venous return in infancy. Brit Heart J 1977; 39: 80–92.CrossRefGoogle Scholar
9.Breckenridge, IM, Oelert, H, Graham, GR, Stark, J, Waterson, DJ.Correction of total anomalous pulmonary venous drainage in infancy. J Thorac Cardiovasc Surg 1973; 66: 447–453.CrossRefGoogle ScholarPubMed