Carbon dioxide prevents pulmonary overcirculation in hypoplastic left heart syndrome

doi:10.1016/0003-4975(92)91166-7

The Annals of Thoracic Surgery

Volume 54, Issue 1, July 1992, Pages 150-151

https://doi.org/10.1016/0003-4975(92)91166-7 Get rights and content

Abstract

Circulatory and metabolic homeostasis in patients with hypoplastic left heart syndrome is dependent on a delicate balance between systemic and pulmonary blood flow. Hypocarbia can result in a marked decrease in pulmonary vascular resistance accompanied by pulmonary overcirculation, systemic hypotension, metabolic acidosis, and death. This report illustrates that early and precise control of the arterial carbon dioxide tension using inspired carbon dioxide can be effective in preventing or treating instability arising during management of a patient with hypoplastic left heart syndrome.

References (3)

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Effect of pH and Pco₂ on pulmonary and systemic hemodynamics after surgery in children with congenital heart disease and pulmonary hypertension
J Pediatr
(1988)

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Case reportCarbon dioxide prevents pulmonary overcirculation in hypoplastic left heart syndrome

Abstract

J Pediatr

Case report
Carbon dioxide prevents pulmonary overcirculation in hypoplastic left heart syndrome