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Ann Thorac Surg 2006;81:1434-1435
© 2006 The Society of Thoracic Surgeons


Original article: Cardiovascular

Invited commentary

Gail E. Wright, MD

Division of Pediatric Cardiology, Lucile Packard Childrens' Hospital, Stanford University School of Medicine, 750 Welch Rd, Suite 305, Palo Alto, CA 94304

(Email: gewright@stanford.edu).

The first 20% of the full text of this article appears below.

In this retrospective review, Agarwal and colleagues [1] evaluated the effects of inhaled nitric oxide (iNO) in bidirectional Glenn patients who had elevated Glenn pressures immediately postoperatively. The effects of iNO on Glenn pressures, systemic perfusion, and respiratory indices were assessed. The study demonstrated that in a majority of these patients iNO lowered superior vena cava pressures and improved systemic perfusion and gas exchange. In the subset of patients who did not benefit from iNO, anatomic obstruction or ventricular dysfunction was subsequently noted, and those patients underwent further operative interventions.

. . . [Full Text of this Article]


Related Article

Inhaled Nitric Oxide Use in Bidirectional Glenn Anastomosis for Elevated Glenn Pressures
Hemant S. Agarwal, Kevin B. Churchwell, Thomas P. Doyle, Karla G. Christian, Davis C. Drinkwater, Jr, Daniel W. Byrne, and Mary B. Taylor
Ann. Thorac. Surg. 2006 81: 1429-1434. [Abstract] [Full Text] [PDF]






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