Temporary aorto-pulmonary shunt for pulmonary hypertension after truncus arteriosus repair.
We describe successful management of pulmonary hypertension with a reversible aorto-pulmonary (central) shunt and inhaled nitric oxide gas after truncus arteriosus repair. A temporary central shunt may provide a lifeline in those cases refractory to pharmacologic pulmonary vasodilation as long as marginal systemic oxygenation can be maintained.
Katsumata
T
T
Department of Cardiac Surgery, Oxford Heart Centre, John Radcliffe Hospital, England.
Shinfeld
A
A
Westaby
S
S
D000280:Administration, Inhalation; D001011:Aorta / Q000601:surgery*; D001794:Blood Pressure / Q000187:drug effects; D016122:Brachiocephalic Trunk / Q000637:transplantation*; D002303:Cardiac Output, Low / Q000188:drug therapy / Q000601:surgery; D004062:DiGeorge Syndrome / Q000150:complications; D006801:Humans; D006976:Hypertension, Pulmonary / Q000188:drug therapy / Q000601:surgery*; D007231:Infant, Newborn; D008297:Male; D009569:Nitric Oxide / Q000008:administration & dosage / Q000627:therapeutic use; D010100:Oxygen / Q000097:blood; D011651:Pulmonary Artery / Q000601:surgery*; D011652:Pulmonary Circulation / Q000187:drug effects; D014184:Transplantation, Homologous; D014339:Truncus Arteriosus, Persistent / Q000601:surgery*; D014655:Vascular Resistance / Q000187:drug effects; D014665:Vasodilator Agents / Q000008:administration & dosage / Q000627:therapeutic use
D014665:Vasodilator Agents; D009569:Nitric Oxide; D010100:Oxygen