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Takahiro Katsumata
Amihay Shinfeld
Stephen Westaby
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Ann Thorac Surg 1998;65:1764-1765
© 1998 The Society of Thoracic Surgeons

Case Reports

Temporary Aorto–Pulmonary Shunt for Pulmonary Hypertension After Truncus Arteriosus Repair

Takahiro Katsumata, MDa, Amihay Shinfeld, MDa, Stephen Westaby, FRCSa

a Department of Cardiac Surgery, Oxford Heart Centre, John Radcliffe Hospital, Oxford, England, United Kingdom

Accepted for publication December 12, 1998.

Address reprint requests to Mr Westaby, Department of Cardiac Surgery, Oxford Heart Centre, John Radcliffe Hospital, Oxford OX3 9DU, England

We describe successful management of pulmonary hypertension with a reversible aorto–pulmonary (central) shunt and inhaled nitric oxide gas after truncus arteriosus repair. A temporary central shunt may provide a lifeline in those cases refractory to pharmacologic pulmonary vasodilation as long as marginal systemic oxygenation can be maintained.






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Copyright © 1998 by The Society of Thoracic Surgeons.