Pulmonary vein thrombosis is a rare but potentially life threatening complication following lobectomy or bilobectomy. We present a case of right upper pulmonary vein thrombosis after a middle and lower lobectomy diagnosed at transoesophageal echocardiography. The patient was treated with antibiotics and anticoagulation with good recovery. Pulmonary angiography was performed 35 days after surger...

In a previous study [G. C. M. Beaufort-Krol, J. Takens, M. C. Molenkamp, G. B. Smid, J. J. Meuzelaar, W. G. Zijlstra, and J. R. G. Kuipers. Am. J. Physiol. 275 (Heart Circ. Physiol. 44): H1503-H1512, 1998], a lower systemic O2 supply was found in lambs with aortopulmonary left-to-right shunts. To determine whether the lower systemic O2 supply results in increased anaerobic metabolism, we used [...

SUCCESS in the surgical treatment of children who have large ventricular septal defects is dependent in part on the proper selection of patients for operation. The patients most deser-ving of such correction are those who have severe pulmonary hypertension, and it is in these that the decision to offer surgical intervention may present the greatest problems. The factors influencing the increase...

Clinical, hemodynamic, and angiocardiographic findings on eight long-term (more than 3 years) survivors of anastomosis of the superior vena cava (SVC) to the right pulmonary artery (RPA) are described. All patients had severe cyanotic congenital heart disease with decreased pulmonary blood flow. Postoperative cardiac catheterization and angiocardiography defined the physiology of the shunt. SVC...

BACKGROUND A portosystemic stent shunt may impair cardiac function and haemodynamics. AIMS To investigate the effects of a transjugular intrahepatic portosystemic shunt (TIPS) on cardiac function and pulmonary and systemic circulation in patients with alcoholic cirrhosis. PATIENTS/METHODS 17 patients with alcoholic cirrhosis and recent variceal bleeding were evaluated by echocardiography an...

BACKGROUND Cardiac output (CO) monitoring remains complex in newborns as most of the current technologies fail to accurately measure systemic blood flow in the presence of shunts. We validated CO measurements using transpulmonary ultrasound dilution (TPUD) in a neonatal lamb model with a left-to-right shunt. METHODS Regular arterial and central venous catheters were inserted into seven lambs ...

Background—A portosystemic stent shunt may impair cardiac function and haemodynamics. Aims—To investigate the eVects of a transjugular intrahepatic portosystemic shunt (TIPS) on cardiac function and pulmonary and systemic circulation in patients with alcoholic cirrhosis. Patients/Methods—17 patients with alcoholic cirrhosis and recent variceal bleeding were evaluated by echocardiography and cat...

SUCCESS in the surgical treatment of children who have large ventricular septal defects is dependent in part on the proper selection of patients for operation. The patients most deser-ving of such correction are those who have severe pulmonary hypertension, and it is in these that the decision to offer surgical intervention may present the greatest problems. The factors influencing the increase...

OBJECTIVE To test the vasodilatory response of the pulmonary vascular bed in children with pulmonary hypertension. DESIGN Prospective dose response study in which the effects of inhaled nitric oxide (NO) are compared with those of oxygen and intravenous prostacyclin. PATIENTS AND INTERVENTIONS The vasodilator test was performed in 20 patients in whom mean pulmonary artery pressure (PAPm) wa...