1.
A A Case Rep
; 6(3): 56-60, 2016 Feb 01.
Article
in English
| MEDLINE
| ID: mdl-26579614
ABSTRACT
Childhood idiopathic pulmonary arterial hypertension is a progressive and fatal disease. When pulmonary artery pressures become suprasystemic and refractory to medical management, atrial septostomy can be recommended for bridging patients to lung transplantation. Recently, a surgical Potts shunt has been recommended as an alternative rescue therapy, and initial outcome data are promising. The placement of a Potts shunt converts the child to Eisenmenger physiology, which is anticipated to provide an improved quality and duration of life. We present the first description of anesthetic management of a child undergoing surgical Potts shunt for pulmonary arterial hypertension and summarize the multiple, unique intraoperative considerations.
Subject(s)
Anesthesia/methods , Familial Primary Pulmonary Hypertension/surgery , Fentanyl/administration & dosage , Isoflurane/administration & dosage , Anastomosis, Surgical/methods , Child , Familial Primary Pulmonary Hypertension/physiopathology , Female , Humans , Intraoperative Care , Treatment Outcome
2.
J Clin Oncol
; 28(12): e184-7, 2010 Apr 20.
Article
in English
| MEDLINE
| ID: mdl-20231681