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Continuous inhaled iloprost in a neonate with d-transposition of the great arteries and severe pulmonary arterial hypertension

Published online by Cambridge University Press:  29 July 2015

John C. Dykes*
Affiliation:
Nicklaus Children’s Hospital, Department of Cardiology, Miami, Florida, United States of America
Marilyn Torres
Affiliation:
Nicklaus Children’s Hospital, Department of Cardiology, Miami, Florida, United States of America
Plato J. Alexander
Affiliation:
Nicklaus Children’s Hospital, Department of Cardiology, Miami, Florida, United States of America
*
Correspondence to: J. C. Dykes, MD, Nicklaus Children’s Hospital, Department of Cardiology, 3100 SW 62nd Avenue, Miami, FL 33155, United States of America. Tel: 305 666 6511; Fax: 305 662 8304; E-mail: [email protected]

Abstract

This report describes the case of a neonate with d-transposition of the great arteries and severe pulmonary arterial hypertension stabilised in the post-operative period with continuous iloprost nebulisation. To our knowledge, this is the first documented method of treating post-operative severe pulmonary arterial hypertension with continuous inhaled iloprost in a patient with complex CHD. We found this method of delivering the drug very effective in stabilising haemodynamic swings in the setting of severe pulmonary arterial hypertension.

Type
Brief Reports
Copyright
© Cambridge University Press 2015 

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