Skip to main content Accessibility help
×
Home

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

  • Andrew Sands (a1), Brian Craig (a1) and Frank Casey (a1)

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.

Copyright

Corresponding author

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.

References

Hide All
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: 880885.
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: 201206.
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: 5560.
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: 805807.
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: 88102.
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: 249254.
7.Haworth, SG.Total anomalous pulmonary venous return. Prenatal damage to pulmonary vascular bed and extrapulmonary veins. Brit Heart J 1982; 48: 513524.
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: 8092.
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: 447453.

Keywords

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

  • Andrew Sands (a1), Brian Craig (a1) and Frank Casey (a1)

Metrics

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed