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Ann Thorac Surg 1992;53:148-150
© 1992 The Society of Thoracic Surgeons

Articles

Successful treatment of acute postoperative pulmonary hypertension with nifedipine

Deborah A. Davis, MD*, Pierantonio Russo, MD

Padiatric Heart Institute, Temple University School of Medicine and St. Christopher's Hospital for Children, Philadelphia, Pennsylvania, USA

Accepted for publication June 24, 1991.

* Address reprint requests to Dr Davis, Pediatric Heart Institute, St. Christopher's Hospital for Children, Erie Ave at Front St, Philadelphia, PA 19134-1095.

We report the successful use of nifedipine in the treatment of acute pulmonary hypertension in an infant after a cardiac operation. This patient had undergone total surgical correction of his truncus arteriosus malformation. He had signs of severe pulmonary artery hypertension unresponsive to hyperventilation, oxygenation, sedation, and a myriad of vasodilators. Nifedipine, 0.2 mg/kg every 4 hours, effectively treated his pulmonary artery hypertension and allowed for a smooth post operative course and positive outcome.






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