Successful use of calcium channel blocker for management of arterio-venous malformations following Fontan procedure
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Cambridge University Press
Abstract
In diffuse forms of arteriovenous malformation following Fontan procedure, classical medical therapy, inhaled nitric oxide and sildenafil, may play a role, until re-direction of hepatic flow to pulmonary circulation cures it. However, in refractory cases, as reported in our 2-year-old patient, unusual medications such as calcium channel blockers can be tried and continued if patients respond adequately. © 2018 Cambridge University Press.
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Amlodipine, Arteriovenous malformations, Fontan, Hypoxemia, Intensive care, Calcium channel blockers, Child, preschool, Female, Fontan procedure, Humans, Hypoplastic left heart syndrome, Nitric oxide, Stents, Calcium channel blocking agent, Milrinone, Sildenafil, Acidosis, Angiography, Arterial oxygen saturation, Arteriovenous malformation, Article, Case report, Child, Clinical article, Clinical effectiveness, Clinical outcome, Cyanosis, Drug dose increase, Drug efficacy, Drug substitution, Drug withdrawal, Glenn shunt, Heart catheterization, Hemoglobin blood level, Human, Infant, Low drug dose, Lung artery banding, Lung artery pressure, Newborn, Patent ductus arteriosus, Postoperative period, Preschool child, Stent