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Ann Thorac Surg 1991;51:491-492
© 1991 The Society of Thoracic Surgeons

Articles

Hemolysis due to branch pulmonary stenosis after the arterial switch procedure

James Schroeder, MD*, James Albert, MD, David Clarke, MD, Michael Schaffer, MD, Robert Wolfe, MD, Taru Hays, MD

Section of Pediatric Cardiology, Division of Cardiothoracic Surgery, and Department of Hematology/Oncology, The Children's Hospital and University of Colorado Health Sciences Center, Denver, Colorado USA

Accepted for publication August 16, 1990.

* Address reprint requests to Dr Schroeder, Pediatric Cardiology, The Children's Hospital, 1056 E 19th St, Denver, CO 80218.

An infant with d-transposition of the great arteries underwent arterial switch operation using the modified Jatene technique. Severe bilateral branch pulmonary artery stenosis and mechanical hemolysis subsequently developed. The hemolysis resolved after surgical repair of the stenotic arteries. Probable causes are discussed.




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