The internal mammary artery as a shunt in a noncyanotic infant with hemitruncus: surgical and anesthetic management
Abstract The internal mammary artery (IMA) has been used as a systemic-to-pulmonary artery shunt in selected patients with congenital heart disease. Growth and development of hypoplastic pulmonary arteries have been described. We discuss the surgical and anesthetic management of an infant with an at...
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| Veröffentlicht in: | Journal of clinical anesthesia 2016-08, Vol.32, p.12-16 |
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| container_title | Journal of clinical anesthesia |
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| creator | Mahan, Vicki L., MD Stevens, Randy M., MD Mesia, Cesar I., MD Schwartz, Roy E., MD Moulick, Achintya N., MD |
| description | Abstract The internal mammary artery (IMA) has been used as a systemic-to-pulmonary artery shunt in selected patients with congenital heart disease. Growth and development of hypoplastic pulmonary arteries have been described. We discuss the surgical and anesthetic management of an infant with an atretic-thrombosed right pulmonary artery originating from the ascending aorta in whom the IMA was used to create a systemic-to-pulmonary artery shunt after failure of a previous shunt and later successful pulmonary artery reconstruction. The IMA should be considered as an alternative conduit in patients requiring a systemic-to-pulmonary artery shunt for growth of pulmonary arteries. |
| doi_str_mv | 10.1016/j.jclinane.2015.12.017 |
| format | Article |
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Growth and development of hypoplastic pulmonary arteries have been described. We discuss the surgical and anesthetic management of an infant with an atretic-thrombosed right pulmonary artery originating from the ascending aorta in whom the IMA was used to create a systemic-to-pulmonary artery shunt after failure of a previous shunt and later successful pulmonary artery reconstruction. The IMA should be considered as an alternative conduit in patients requiring a systemic-to-pulmonary artery shunt for growth of pulmonary arteries.</description><identifier>ISSN: 0952-8180</identifier><identifier>EISSN: 1873-4529</identifier><identifier>DOI: 10.1016/j.jclinane.2015.12.017</identifier><identifier>PMID: 27290936</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Anesthesia ; Anesthesia & Perioperative Care ; Anesthesia - methods ; Cardiovascular disease ; Catheters ; CHD ; Congenital diseases ; Congenital heart disease ; Coronary vessels ; Heart Defects, Congenital - surgery ; Humans ; Infant ; Intubation ; Male ; Mammary Arteries - surgery ; Metabolism ; Nitric oxide ; Pain Medicine ; Patients ; Pulmonary arteries ; Pulmonary Artery - surgery ; Pulmonary hypertension ; Veins & arteries</subject><ispartof>Journal of clinical anesthesia, 2016-08, Vol.32, p.12-16</ispartof><rights>Elsevier Inc.</rights><rights>2016 Elsevier Inc.</rights><rights>Copyright © 2016 Elsevier Inc. 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The IMA should be considered as an alternative conduit in patients requiring a systemic-to-pulmonary artery shunt for growth of pulmonary arteries.</description><subject>Anesthesia</subject><subject>Anesthesia & Perioperative Care</subject><subject>Anesthesia - methods</subject><subject>Cardiovascular disease</subject><subject>Catheters</subject><subject>CHD</subject><subject>Congenital diseases</subject><subject>Congenital heart disease</subject><subject>Coronary vessels</subject><subject>Heart Defects, Congenital - surgery</subject><subject>Humans</subject><subject>Infant</subject><subject>Intubation</subject><subject>Male</subject><subject>Mammary Arteries - surgery</subject><subject>Metabolism</subject><subject>Nitric oxide</subject><subject>Pain Medicine</subject><subject>Patients</subject><subject>Pulmonary arteries</subject><subject>Pulmonary Artery - surgery</subject><subject>Pulmonary hypertension</subject><subject>Veins & arteries</subject><issn>0952-8180</issn><issn>1873-4529</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqNkstu1TAQhi0EoofCK1SR2LBJsB3HFxaIquImVWJBWVvGZ9I4JE6xE9B5e8acFqRuYGGNNf7mtz3_EHLGaMMoky_HZvRTiC5CwynrGsYbytQDsmNatbXouHlIdtR0vNZM0xPyJOeRUooH7DE54Yobalq5I_lqgCrEFVJ0UzW7eXbpULmECQy5clUetrgigtu4RH9wcVmDx0TvMP8zrEM1wBzWtEW_5VdV3tJ18Cjm4h4X5HWAUjC76K5hhrg-JY96N2V4dhtPyZd3b68uPtSXn95_vDi_rL3QYq17Y6QzTlNtlJTAOO1b3lItOqWY0x2AATzvOYiu70AL_LnrlXCMayYUb0_Ji6PuTVq-b_gQO4fsYZrwVcuWLdNcaUOl_A9UGSm1MkYj-vweOi5b6d5vSgkuWlME5ZHyack5QW9vUii9tYza4qAd7Z2DtjhoGbfoIBae3cpvX2fY_ym7swyBN0cAsHU_AiSbfYDoYR8S-NXul_DvO17fkyhUMe0bHCD__Y_NWGA_lzkqY8QkjlCrZfsLRijEUw</recordid><startdate>20160801</startdate><enddate>20160801</enddate><creator>Mahan, Vicki L., MD</creator><creator>Stevens, Randy M., MD</creator><creator>Mesia, Cesar I., MD</creator><creator>Schwartz, Roy E., MD</creator><creator>Moulick, Achintya N., MD</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>7U7</scope><scope>C1K</scope></search><sort><creationdate>20160801</creationdate><title>The internal mammary artery as a shunt in a noncyanotic infant with hemitruncus: surgical and anesthetic management</title><author>Mahan, Vicki L., MD ; 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| subjects | Anesthesia Anesthesia & Perioperative Care Anesthesia - methods Cardiovascular disease Catheters CHD Congenital diseases Congenital heart disease Coronary vessels Heart Defects, Congenital - surgery Humans Infant Intubation Male Mammary Arteries - surgery Metabolism Nitric oxide Pain Medicine Patients Pulmonary arteries Pulmonary Artery - surgery Pulmonary hypertension Veins & arteries |
| title | The internal mammary artery as a shunt in a noncyanotic infant with hemitruncus: surgical and anesthetic management |
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