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  • 1
    Electronic Resource
    Electronic Resource
    Inhaled nitric oxide differentiates pulmonary vasospasm from vascular obstruction after surgery for congenital heart disease (1999)
    Springer
    Intensive care medicine 25 (1999), S. 1126-1130 
    Details
    ISSN: 1432-1238
    Keywords: Key words Inhaled NO ; Cardiac critical care
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Objective: To evaluate whether a trial of inhaled nitric oxide (NO) differentiates reversible pulmonary vasoconstriction from fixed anatomic obstruction to pulmonary blood flow after surgery for congenital heart disease in patients at risk for pulmonary hypertension.¶Design: Prospective cohort study.¶Setting: Tertiary care children's hospital.¶Patients: 15 neonate and infants with elevated pulmonary artery or right ventricular pressure or with clinical signs suggestive of high pulmonary vascular resistance in the early postoperative period following repair of congenital heart disease.¶Intervention: 30-min trial of 40 ppm inhaled NO.¶Results: 5 patients responded to inhaled NO, 2 patients were weaned from extracorporeal support with NO. Four were maintained on continuous inhaled NO for 3 to 5 days. All the responders survived. Ten patients did not respond to NO. An important anatomic obstruction was found with echocardiography or angiography in all 10 patients. Reintervention was performed in 6/10 (4 stent placement, 1 balloon angioplasty of pulmonary arteries and 1 revision of systemic to pulmonary shunt). Six of the nonresponders died.¶Conclusion: A trial of inhaled NO after cardiac surgery in neonates and infants may be useful to differentiate reversible pulmonary vasoconstriction from fixed anatomic obstruction and may provide useful information if temporary support with extracorporeal membrane oxygenation is considered. Failure to respond to inhaled NO should prompt further investigations to rule out a residual obstruction.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s001340051022
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    Paper (German National Licenses)
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  • 2
    Electronic Resource
    Electronic Resource
    Acute Pulmonary Embolism in a Neonate: Precipitation During Cardiac Catheterization and Successful Treatment (1998)
    Springer
    Pediatric cardiology 19 (1998), S. 431-435 
    Details
    ISSN: 1432-1971
    Keywords: Key words: Catheterization — Embolism — Pulmonary — Neonatal
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract. This report illustrates the rare occurrence of a pulmonary embolus in a neonate during cardiac catheterization. The patient was a term newborn who underwent repair of obstructed infradiaphragmatic total anomalous pulmonary venous connection. Postoperative risk factors for pulmonary embolism included severe pulmonary hypertension unresponsive to nitric oxide therapy, an indwelling venous catheter, and young age. Successful management was achieved by initial mechanical fragmentation with streptokinase infusion and monitoring by serial lung perfusion scans.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s002469900345
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    Paper (German National Licenses)
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  • 3
    Electronic Resource
    Electronic Resource
    Transposition of the great arteries in a neonate with Klinefelter's syndrome (1987)
    Springer
    Pediatric cardiology 8 (1987), S. 285-286 
    Details
    ISSN: 1432-1971
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF02427544
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    Paper (German National Licenses)
    Fulltext
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