Successful balloon dilatation of ascending vein stenosis in obstructed supracardiac total anomalous pulmonary venous connection |
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Authors: | F A Bu'Lock S C Jordan R P Martin |
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Institution: | (1) Department of Paediatric Cardiology, Bristol Royal Hospital for Sick Children, Bristol, UK;(2) The Heart Unit, Birmingham Children's Hospital, Ladywood Middleway, B16 8ET Birmingham, UK |
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Abstract: | Summary A newborn infant presenting with severe hypoxia and pulmonary edema was found to have supracardiac total anomalous pulmonary venous connection (TAPVC). There was a severe localized stenosis (gradient >30 mmHg) of the vein ascending from the pulmonary venous confluence. Balloon dilatation of the stenosis provided immediate and effective relief of the obstruction (gradient 4 mmHg) until surgery was performed. In sick neonates with discretely obstructed anomalous pulmonary venous connection, short-term hemodynamic stability may be achieved by balloon angioplasty of the site of obstruction. |
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Keywords: | Total anomalous pulmonary venous connection Balloon angioplasty Congenital heart disease |
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