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Fludrocortisone in the Management of an Infant with a Single Ventricle and an Overly Tightened Pulmonary Artery Band

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Abstract

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.

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Authors and Affiliations

  1. 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

    K.M. Ponciroli, S.B. Jureidini, D. Dempsher & I. Balfour

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  1. K.M. Ponciroli
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  2. S.B. Jureidini
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  3. D. Dempsher
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  4. I. Balfour
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Correspondence to S.B. Jureidini.

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Ponciroli, K., Jureidini, S., Dempsher, D. et al. Fludrocortisone in the Management of an Infant with a Single Ventricle and an Overly Tightened Pulmonary Artery Band. Pediatr Cardiol 27, 640–642 (2006). https://doi.org/10.1007/s00246-005-1120-3

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  • DOI: https://doi.org/10.1007/s00246-005-1120-3

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