[An effective case of nitric oxide inhalation therapy in pulmonary hypertensive crisis in cardiopulmonary bypass following palliative operation for ventricular septal defect with pulmonary hypertension].
A 4-month-old female with ventricular septal defect (VSD) and severe pulmonary hypertension (PH) underwent a patch closure for VSD. She could not be weaned from cardiopulmonary bypass (CPB) after the intracardiac repair due to PH crisis. Nitric oxide inhalation therapy during partial CPB enabled her to be weaned from CPB. This therapy could be gradually taped off and quit 7 days after the operation. Nitric oxide inhaled therapy is considered to be an excellent treatment for PH crisis during CPB in congenital cardiac surgery. The causes of PH crisis were also discussed in reference to the date of endothelin-1 (ET-1) measured during the operation.
Department of Cardiovascular Surgery, Kyorin University School of Medicine, Mitaka, Japan.
K
K
Honda
H
H
Ooiwa
K
K
Tonari
R
R
Ishida
K
K
Sudo
D000280:Administration, Inhalation; D006348:Cardiac Surgical Procedures / Q000379:methods; D002315:Cardiopulmonary Bypass; D019332:Endothelin-1 / Q000097:blood*; D005260:Female; D006345:Heart Septal Defects, Ventricular / Q000097:blood / Q000601:surgery*; D006801:Humans; D006976:Hypertension, Pulmonary / Q000150:complications / Q000628:therapy*; D007223:Infant; D009569:Nitric Oxide / Q000008:administration & dosage*
D019332:Endothelin-1; D009569:Nitric Oxide