Post-op systemic hypertensive crises in an infant with total anomalous pulmonary venous connection

Systemic hypertension is not usually a complication following repair of total anomalous pulmonary venous connection (TAPVC). We report an infant with supracardiac TAPVC with hypertensive crises post-operatively resulting in pulmonary edema. We feel this might have been related to the pre-operative h...

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Veröffentlicht in:	Indian journal of pediatrics 2009-07, Vol.76 (7), p.755-756
Hauptverfasser:	Kohli, Vikas, Sachdev, Manvinder S., Joshi, Reena K., Joshi, Raja
Format:	Artikel
Sprache:	eng
Schlagworte:	Antihypertensive Agents - administration & dosage Arterial hypertension. Arterial hypotension Biological and medical sciences Blood and lymphatic vessels Blood Pressure Determination Cardiac Surgical Procedures - adverse effects Cardiac Surgical Procedures - methods Cardiology. Vascular system Cardiopulmonary Bypass - adverse effects Cardiopulmonary Bypass - methods Clinical Brief Congenital heart diseases. Malformations of the aorta, pulmonary vessels and vena cava Cyanosis - diagnosis Cyanosis - etiology Drug Therapy, Combination Emergency Treatment Follow-Up Studies General aspects Gynecology Heart Humans Hypertension, Malignant - drug therapy Hypertension, Malignant - etiology Hypertension, Malignant - physiopathology Infant Male Medical sciences Medicine Medicine & Public Health Pediatrics Postoperative Complications - diagnosis Postoperative Complications - drug therapy Pulmonary Veins - abnormalities Risk Assessment Scimitar Syndrome - diagnosis Scimitar Syndrome - surgery Treatment Outcome
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Zusammenfassung:	Systemic hypertension is not usually a complication following repair of total anomalous pulmonary venous connection (TAPVC). We report an infant with supracardiac TAPVC with hypertensive crises post-operatively resulting in pulmonary edema. We feel this might have been related to the pre-operative hemodynamics as described. Beta-blockers improved the hypertensive crises.
ISSN:	0019-5456 0973-7693
DOI:	10.1007/s12098-009-0150-x