Document Detail


Fludrocortisone in the management of an infant with a single ventricle and an overly tightened pulmonary artery band.
MedLine Citation:
PMID:  16933074     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We describe a 2-month-old female infant with a univentricular heart and overly tightened pulmonary artery band (PAB) resulting in hypercyanotic episodes. Despite adequate doses of morphine and a beta-blocker, she continued to have multiple hypercyanotic events per day. Treatment with fludrocortisone resulted in resolution of these episodes and allowed performance of a Glenn shunt at 3 half months of age. We conclude that fludrocortisone may be beneficial in the management of an overly tightened PAB until the patient is suitable for surgical intervention.
Authors:
K M Ponciroli; S B Jureidini; D Dempsher; I Balfour
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Pediatric cardiology     Volume:  27     ISSN:  0172-0643     ISO Abbreviation:  Pediatr Cardiol     Publication Date:    2006 Sep-Oct
Date Detail:
Created Date:  2006-10-02     Completed Date:  2006-11-02     Revised Date:  2008-02-20    
Medline Journal Info:
Nlm Unique ID:  8003849     Medline TA:  Pediatr Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  640-2     Citation Subset:  IM    
Affiliation:
Department of Pediatric Cardiology and Endocrinology, St. Louis University, School of Medicine, Cardinal Glennon Children's Hospital, 1465 South Grand Boulevard, St. Louis, MO 63104, USA.
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MeSH Terms
Descriptor/Qualifier:
Anti-Inflammatory Agents / therapeutic use*
Echocardiography
Female
Fludrocortisone / therapeutic use*
Follow-Up Studies
Heart Catheterization
Heart Defects, Congenital / therapy*,  ultrasonography
Heart Ventricles / abnormalities*,  ultrasonography
Humans
Infant
Pulmonary Artery / surgery*
Vascular Surgical Procedures / methods*
Chemical
Reg. No./Substance:
0/Anti-Inflammatory Agents; 127-31-1/Fludrocortisone

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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