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Review Case Reports
Intraoperative hypercyanosis in a patient with pulmonary artery band: case report and review of the literature.
- James R Pierce, Shalini S Sharma, Catherine J Hunter, Shazia Bhombal, Brian Fagan, Yohana Corchado, Tracy C Grikscheit, and Gerald A Bushman.
- Department of Pediatric Surgery, Children's Hospital Los Angeles, Los Angeles, CA 90027, USA. jrpierce@chla.usc.edu
- J Clin Anesth. 2012 Dec 1;24(8):652-5.
AbstractA 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.Copyright © 2012 Elsevier Inc. All rights reserved.
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