title: Intraoperative hypercyanosis in a patient with pulmonary artery band: case report and review of the literature.
abstract: A case of intraoperative cyanosis in a patient with a common atrioventricular canal palliated with a pulmonary artery (PA) band is presented. The patient's physiology was consistent with cyanosis due to inadequate pulmonary blood flow, and responded quickly to typical interventions used for a hypercyanotic episode in a patient with unrepaired Tetralogy of Fallot. Differences and similarities in the physiology of PA banding compared with Tetralogy of Fallot are presented, including a rationale for treatment options for hemodynamic decompensation occurring in the setting of anesthesia and surgery.
authors.affiliation: Department of Pediatric Surgery, Children's Hospital Los Angeles, Los Angeles, CA 90027, USA. jrpierce@chla.usc.edu
authors.forename: James R
authors.initials: JR
authors.lastname: Pierce
authors.forename: Shalini S
authors.initials: SS
authors.lastname: Sharma
authors.forename: Catherine J
authors.initials: CJ
authors.lastname: Hunter
authors.forename: Shazia
authors.initials: S
authors.lastname: Bhombal
authors.forename: Brian
authors.initials: B
authors.lastname: Fagan
authors.forename: Yohana
authors.initials: Y
authors.lastname: Corchado
authors.forename: Tracy C
authors.initials: TC
authors.lastname: Grikscheit
authors.forename: Gerald A
authors.initials: GA
authors.lastname: Bushman
mesh_terms: D003490:Cyanosis / Q000209:etiology* / Q000628:therapy; D005260:Female; D006343:Heart Septal Defects; D006801:Humans; D007231:Infant, Newborn; D007431:Intraoperative Complications / Q000473:pathology; D008944:Mitral Valve Insufficiency / Q000601:surgery*; D011651:Pulmonary Artery / Q000601:surgery*; D013771:Tetralogy of Fallot / Q000503:physiopathology