Use of sildenafil and nitric oxide in the management of hypoxemia owing to pulmonary arteriovenous fistulas after total cavopulmonary connection Sameer.

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Presentation transcript:

Use of sildenafil and nitric oxide in the management of hypoxemia owing to pulmonary arteriovenous fistulas after total cavopulmonary connection Sameer Bhate, MCh DNB(CVTS), Michael Rossiter-Thornton, BMedSc(Hons), Stephen G. Cooper, MB, ChB, FRACP, Jonathan Gillis, PhD, FRACP, Andrew D. Cole, BAppSci(Hons), Gary S. Sholler, MBBS, FRACP, Richard B. Chard, BDS, MBBS, FRACS, David S. Winlaw, MD, FRACS The Journal of Thoracic and Cardiovascular Surgery Volume 135, Issue 2, Pages 446-448 (February 2008) DOI: 10.1016/j.jtcvs.2007.10.009 Copyright © 2008 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Oxygen saturations in patients 1 (A) and 2 (B). ICU, Intensive care unit; CPB, cardiopulmonary bypass; iNO, inhaled nitric oxide. The Journal of Thoracic and Cardiovascular Surgery 2008 135, 446-448DOI: (10.1016/j.jtcvs.2007.10.009) Copyright © 2008 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 A, Preoperative angiogram in patient 1, with injection into the right internal jugular vein through the superior cavopulmonary anastomosis, with contrast in both pulmonary arteries. Note early return of contrast through arteriovenous fistulae into pulmonary veins, filling the common atrium from the right side (outlined). B, Postoperative angiogram in patient 2, with injection into the left pulmonary artery. Note early return of contrast via arteriovenous fistulas, into the pulmonary veins, outlining the common atrium (outlined). The Journal of Thoracic and Cardiovascular Surgery 2008 135, 446-448DOI: (10.1016/j.jtcvs.2007.10.009) Copyright © 2008 The American Association for Thoracic Surgery Terms and Conditions