Obstructive total anomalous pulmonary venous drainage.

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dc.contributor.authorNabar, Aen_US
dc.contributor.authorDalvi, Ben_US
dc.date.accessioned1998-01-20en_US
dc.date.accessioned2009-05-30T12:14:55Z
dc.date.available1998-01-20en_US
dc.date.available2009-05-30T12:14:55Z
dc.date.issued1998-01-20en_US
dc.description44 references.en_US
dc.description.abstractObstructive total anomalous pulmonary venous drainage (TAPVD) has a florid presentation in the neonatal period from the resulting pulmonary edema. A complete anatomical and functional diagnosis is usually possible by transthoracic color Doppler echocardiography, and cardiac catheterization with its attendant risks can usually be avoided in the sick neonate. Currently balloon atrial septostomy has a limited role in palliation of these neonates. Corrective surgery on urgent basis has gratifying results and prevents progression of pulmonary vascular occlusive disease. Pulmonary hypertensive crisis in the early post-operative course needs to be avoided and treated vigorously if it were to develop. Late post-operative course can be complicated by anastomotic obstruction or progressive narrowing of the individual pulmonary veins. Although the former can be dealt successfully by re-operation, surgical treatment of the latter is not satisfactory. Balloon dilatation of the obstructed pulmonary venous pathways, native and post-operative, has been reported with equivocal results. Infant heart-lung transplant is a viable option in patients with diffusely narrow pulmonary veins or complex TAPVDs.en_US
dc.description.affiliationDepartment of Cardiology, King Edward VII Memorial Hospital, Parel, Mumbai.en_US
dc.identifier.citationNabar A, Dalvi B. Obstructive total anomalous pulmonary venous drainage. Indian Journal of Pediatrics. 1998 Jan-Feb; 65(1): 35-45en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/80494
dc.language.isoengen_US
dc.source.urihttps://medind.nic.in/icb/icbai.shtmlen_US
dc.subject.meshChilden_US
dc.subject.meshChild, Preschoolen_US
dc.subject.meshEchocardiography, Doppler, Coloren_US
dc.subject.meshFemaleen_US
dc.subject.meshFollow-Up Studiesen_US
dc.subject.meshHeart Atria --abnormalitiesen_US
dc.subject.meshHeart Catheterizationen_US
dc.subject.meshHeart Defects, Congenital --surgeryen_US
dc.subject.meshHemodynamics --physiologyen_US
dc.subject.meshHumansen_US
dc.subject.meshInfanten_US
dc.subject.meshInfant, Newbornen_US
dc.subject.meshMaleen_US
dc.subject.meshPalliative Careen_US
dc.subject.meshPulmonary Veins --abnormalitiesen_US
dc.titleObstructive total anomalous pulmonary venous drainage.en_US
dc.typeJournal Articleen_US
dc.typeReviewen_US
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