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Intraoperative hypercyanosis in a patient with pulmonary artery band: case report and review of the literature |
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| Authors: | James R Pierce Shalini S Sharma Catherine J Hunter Shazia Bhombal Brian Fagan Yohana Corchado Tracy C Grikscheit Gerald A Bushman |
| Institution: | 1. Department of Pediatric Surgery, Children''s Hospital Los Angeles, Los Angeles, CA 90027, USA;2. Department of Anesthesia, Keck School of Medicine of the University of Southern California, Los Angeles, CA 90089, USA;3. Department of Cardiology, Children''s Hospital Los Angeles, Los Angeles, CA 90027, USA;4. Pacific Pediatric Cardiology Group, Children''s Hospital Los Angeles, Los Angeles, CA 90027, USA;5. Department of Anesthesia and Critical Care Medicine, Children''s Hospital Los Angeles, Los Angeles, CA 90027, USA |
| Abstract: | A case of intraoperative cyanosis in a patient with a common atrioventricular canal palliated with a pulmonary artery (PA) band is presented. The patient's physiology was consistent with cyanosis due to inadequate pulmonary blood flow, and responded quickly to typical interventions used for a hypercyanotic episode in a patient with unrepaired Tetralogy of Fallot. Differences and similarities in the physiology of PA banding compared with Tetralogy of Fallot are presented, including a rationale for treatment options for hemodynamic decompensation occurring in the setting of anesthesia and surgery. |
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