Treatment considerations in total anomalous pulmonary venous connection

Background Total anomalous pulmonary venous connection (TAPVC) is a rare cyanotic abnormality that accounts for about 1%–3% of congenital heart disease malformations. TAPVC is a condition in which there is no direct connection between all four pulmonary veins and the left atrium but makes abnormal c...

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Main Authors: Eka Prasetya Budi Mulia, Mahrus A. Rahman
Format: Article
Language:English
Published: SAGE Publishing 2023-07-01
Series:Proceedings of Singapore Healthcare
Online Access:https://doi.org/10.1177/20101058231188865
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author Eka Prasetya Budi Mulia
Mahrus A. Rahman
author_facet Eka Prasetya Budi Mulia
Mahrus A. Rahman
author_sort Eka Prasetya Budi Mulia
collection DOAJ
description Background Total anomalous pulmonary venous connection (TAPVC) is a rare cyanotic abnormality that accounts for about 1%–3% of congenital heart disease malformations. TAPVC is a condition in which there is no direct connection between all four pulmonary veins and the left atrium but makes abnormal connections to the right atrium or systemic venous system. TAPVC caused a high mortality rate of 80% in the first year of life, and 50% of them die within 3 months after birth without intervention. Objectives The aim of this review is to elucidate the various treatment considerations of TAPVC. Methods A literature search was conducted on PubMed, ScienceDirect and Google Scholar using various combinations of keywords related to treatment of TAPVC. The citations from all selected articles were reviewed for additional studies. Results and Conclusion TAPVC intervention, including medical and surgical, is tailored to each type of TAPVC. Catheter-based interventions are frequently used to temporize neonates and provide time to optimize patients medically prior to definite repair. Corrective surgery is required for all patients with this condition. Several latest catheter-based or surgical intervention technique modifications have also been reported.
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spelling doaj.art-a29014b83ae44cc68512694e999aa3712023-07-08T04:33:19ZengSAGE PublishingProceedings of Singapore Healthcare2059-23292023-07-013210.1177/20101058231188865Treatment considerations in total anomalous pulmonary venous connectionEka Prasetya Budi MuliaMahrus A. RahmanBackground Total anomalous pulmonary venous connection (TAPVC) is a rare cyanotic abnormality that accounts for about 1%–3% of congenital heart disease malformations. TAPVC is a condition in which there is no direct connection between all four pulmonary veins and the left atrium but makes abnormal connections to the right atrium or systemic venous system. TAPVC caused a high mortality rate of 80% in the first year of life, and 50% of them die within 3 months after birth without intervention. Objectives The aim of this review is to elucidate the various treatment considerations of TAPVC. Methods A literature search was conducted on PubMed, ScienceDirect and Google Scholar using various combinations of keywords related to treatment of TAPVC. The citations from all selected articles were reviewed for additional studies. Results and Conclusion TAPVC intervention, including medical and surgical, is tailored to each type of TAPVC. Catheter-based interventions are frequently used to temporize neonates and provide time to optimize patients medically prior to definite repair. Corrective surgery is required for all patients with this condition. Several latest catheter-based or surgical intervention technique modifications have also been reported.https://doi.org/10.1177/20101058231188865
spellingShingle Eka Prasetya Budi Mulia
Mahrus A. Rahman
Treatment considerations in total anomalous pulmonary venous connection
Proceedings of Singapore Healthcare
title Treatment considerations in total anomalous pulmonary venous connection
title_full Treatment considerations in total anomalous pulmonary venous connection
title_fullStr Treatment considerations in total anomalous pulmonary venous connection
title_full_unstemmed Treatment considerations in total anomalous pulmonary venous connection
title_short Treatment considerations in total anomalous pulmonary venous connection
title_sort treatment considerations in total anomalous pulmonary venous connection
url https://doi.org/10.1177/20101058231188865
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