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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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