Anomalous Pulmonary Venous Connection Treatments

Anomalous pulmonary venous connection is a congenital heart disease that implies the abnormal connection of the pulmonary veins and the superior vena cava or right atrium.

Abnormal pulmonary venous connection manifests itself with fatigue, physical retardation, heart pain, shortness of breath, and recurrent pneumonia. The methods of surgical correction of abnormal pulmonary venous connection vary depending on the type of malformation.

What does the condition imply?

The word “abnormal” means it’s atypical. In this malformation, the pulmonary veins, which should flow into the left atrium, do not flow into it. There are a lot of variants of their atypical inflow.

There’s also partial anomalous pulmonary venous return when one or two of the four veins flow into the right atrium (the most frequent variant). In the vast majority of cases, it is combined with atrial septal defects.

Complete or total anomalous pulmonary venous connection is quite another issue. In this condition, all four veins from both lungs join into one wide vessel collector. This collector of arterial blood does not fuse with the left atrium, as it should, but connects with the body’s venous system, usually through a large vein.

Arterial blood bypasses the heart and enters the right atrium. Only after passing through the defect of the interatrial septum will it be where it physiologically should be – in the left atrium.

How is malformation treated?

Basic therapy for anomalous pulmonary venous connection is aimed at reducing the body’s oxygen demand and correcting metabolic disorders. It is necessary to create comfortable temperature conditions for a child and limit his physical activity. Medications that treat heart failure may also be used.

Mechanical ventilation with positive end-expiratory pressure is indicated in cases of pulmonary edema. If the cause of edema is obstruction at the level of interatrial connection, and corrective surgery is impossible, it is reasonable to perform closed balloon atrial septostomy.

Surgery, however, is indicated for all children with this congenital heart disease. The timing of the intervention depends on the degree of hemodynamic disorders. In the presence of outflow obstruction, surgical intervention is performed immediately after diagnosis confirmation.

In other cases, the optimal age is 2-6 months. The type of surgery is chosen depending on the type of the connection, but the general goal is to redirect blood flow into the left atrium. In addition, correction of the vessels’ stenosis largely determines a good postoperative result.

The general principles of radical management of total anomalous pulmonary venous connection include the creation of an anastomosis between the vessels and ligation of the pathological connection. After the surgery, sick sinus syndrome, pulmonary hypertension associated with inadequate provision of outflow pathways from the pulmonary veins can develop.

Where to find the best medical hospital in the world?

Modern medicine is armed with scientific knowledge and advances that help physicians in the treatment of many cardiac diseases. Timely diagnosis making and the right choice of therapy save the lives of patients. And all of this is provided in Europe.

Cardiology in Europe is one of the most fast-growing medical fields. Thousands of patients from all over the world entrust their health to European cardiologists. With that said, the best European medical centers for anomalous pulmonary venous connection treatments are:

  • University Hospital Oldenburg
  • University Hospital Essen
  • University Hospital Ulm
  • University Hospital Frankfurt am Main
  • University Hospital Tuebingen

For more information about how to choose the best medical hospital in the world visit the Booking Health website.

Treatment abroad during Lockdown

Thousands of people turn to Booking Health for the organization of treatment abroad during the lockdown. The company helps to obtain a medical visa and prepare all the necessary documents for travel. Generally, Booking Health deals with any issue that arises during treatment planning.

Specialists of the company will provide you with information about the most advanced treatment options, the best hospitals and cardiac surgeons, as well as programs of postoperative rehabilitation. During the trip, your personal medical coordinator will be in touch with you 24/7.

To start any of the anomalous pulmonary venous connection treatments, fill in the request on the Booking Health website.

Conclusion

:o: Anomalous pulmonary venous connection is a congenital heart disease that implies the abnormal connection of the pulmonary veins and the superior vena cava or right atrium.

:o: The word “abnormal” means it’s atypical. In this malformation, the pulmonary veins, which should flow into the left atrium, do not flow into it. There are a lot of variants of their atypical inflow.