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Temporary aorto-pulmonary shunt for pulmonary hypertension after truncus arteriosus repair
T Katsumata1, A Shinfeld, S Westaby
1Department of Cardiac Surgery, Oxford Heart Centre, John Radcliffe Hospital, England.
The Annals of Thoracic Surgery
|July 1, 1998
Abstract:
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.