A. Sands et al., A POSSIBLE ROLE FOR STEROID-THERAPY IN PREVENTING POSTOPERATIVE STENOSIS IN TOTALLY ANOMALOUS PULMONARY VENOUS CONNECTION, Cardiology in the young, 8(2), 1998, pp. 240-242
We report three cases of pulmonary venous stenosis developing alter re
pair of totally anomalous pulmonary venous connection. In each case, w
e used steroids as a therapeutic measure following re-operation. In tw
o cases, we were successful in preventing significant re-stenosis. The
third patient rapidly developed stenosis (mean pulmonary wedge pressu
re approximately 20 mmHg at cardiac catheterisation) after stopping st
eroids. This patient subsequently died after a third operation. The re
maining patients continue to do well.