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Ann Thorac Surg 2005;80:338-340
© 2005 The Society of Thoracic Surgeons

Case report

Nitric Oxide in Pulmonary Arteriovenous Malformations and Fontan Procedure

Gonzalo E. Urcelay, MDa,*, Arturo J. Borzutzkya, Pedro A. Becker, MDb, Maria E. Castillo, MDc

a Department of Pediatrics, Pontificial Catholic University of Chile, Santiago, Chile
b Department of Cardiovascular Diseases, Pontificial Catholic University of Chile, Santiago, Chile
c Hospital Sótero del Río, Santiago, Chile

Accepted for publication December 29, 2003.

* Address reprint requests to Dr Urcelay, Pontificial Catholic University of Chile, Department of Pediatrics, Lira 85, Santiago 833-0074, Chile; (Email: gurcelay{at}manquehue.net).

Pulmonary arteriovenous malformations are a well documented complication of superior cavopulmonary (Glenn) connections. We report the successful management of a case of severe hypoxemia in the early postoperative period of a patient who underwent the Fontan operation. The patient had previously been diagnosed with pulmonary arteriovenous malformations; the use of inhaled nitric oxide was followed up with reversal of life-threatening hypoxemia. At 6-month postoperative follow-up, the patient was asymptomatic with near normal aortic saturation.




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