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Ann Thorac Surg 1995;59:1575-1577
© 1995 The Society of Thoracic Surgeons

Case Report

Arterial Switch and Resection of Hepatic Hemangioendothelioma

Robert C. Robbins, MD, Clifford Chin, MD, Kwok L. Yun, MD, Gerald J. Berry, MD, Daniel Bernstein, MD, Bruce A. Reitz, MD

Department of Cardiothoracic Surgery, Division of Pediatric Cardiology, and Department of Pathology, Stanford University School of Medicine, Stanford, California

Accepted for publication November 1, 1994.

We report on the management of a neonate undergoing arterial switch for transposition of the great arteries and concomitant resection of a hepatic infantile hemangioendothelioma. A preoperative aortogram demonstrated the arterial supply of the hepatic hemangioendothelioma. Pulmonary artery hypertension and myocardial ischemia were noted after separation from cardiopulmonary bypass. Resection of the hepatic malformation produced an immediate reduction in pulmonary hypertension and resolution of the myocardial ischemia. The patient had an uneventful postoperative recovery.






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