Intraoperative hypercyanosis in a patient with pulmonary artery band: Case report and review of the literature

James R. Pierce*, Shalini S. Sharma, Catherine J. Hunter, Shazia Bhombal, Brian Fagan, Yohana Corchado, Tracy C. Grikscheit, Gerald A. Bushman

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)652-655
Number of pages4
JournalJournal of Clinical Anesthesia
Volume24
Issue number8
DOIs
StatePublished - Dec 2012

Keywords

  • Congenital heart disease
  • Hypercyanosis
  • Intraoperative cyanosis
  • Neonatal surgery
  • Pediatric anesthesia
  • Pulmonary artery band

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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