Emergency Pulmonary Artery-to-Systemic Artery Shunt to Break the Positive Feedback Loop of a Pulmonary Hypertensive Crisis after Neonatal Coarctation Repair

A 2.5-kg neonate with coarctation of the aorta and a small left ventricle experienced a severe pulmonary hypertensive crisis. An emergency pulmonary artery-to-systemic artery shunt was placed to break the positive feedback loop caused by pulmonary hypertension and functional mitral stenosis. This sh...

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Bibliographic Details
Published in:Journal of chest surgery 2019, 52(4), , pp.232-235
Main Authors: Shin, Yu Rim, Yang, Young Ho, Park, Young-Hwan, Park, Han Ki
Format: Article
Language:English
Subjects:
Aortic coarctation
Case Report
Hypoplastic left heart syndrome
Pulmonary hypertension
Shunts
흉부외과학
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Summary:A 2.5-kg neonate with coarctation of the aorta and a small left ventricle experienced a severe pulmonary hypertensive crisis. An emergency pulmonary artery-to-systemic artery shunt was placed to break the positive feedback loop caused by pulmonary hypertension and functional mitral stenosis. This shunt provided immediate relief of suprasystemic pulmonary hypertension and the resultant low cardiac output.
ISSN:2233-601X
2765-1606
2093-6516
2765-1614
DOI:10.5090/kjtcs.2019.52.4.232