Article

Pediatric Cardiology

, Volume 25, Issue 5, pp 558-561

Vasodilatory Shock After Surgery for Aortic Valve Endocarditis: Use of Low-Dose Vasopressin

  • E. LechnerAffiliated withDepartment of Pediatric Cardiology, Children’s Heart Center Linz
  • , H. A. DickersonAffiliated withPediatric Cardiac Intensive Care Unit, Texas Children’s Hospital and Department of Pediatrics, Baylor College of Medicine
  • , C. D. FraserJr.Affiliated withCongenital Heart Surgery, Texas Children’s Hospital and Department of Surgery, Baylor College of Medicine
  • , A. C. ChangAffiliated withPediatric Cardiac Intensive Care Unit, Texas Children’s Hospital and Department of Pediatrics, Baylor College of Medicine Email author 

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Abstract

This is the case report of a 13-year-old male who developed vasopressor-resistant hypotension after cardiac surgery for endocarditis. As norepinephrine resulted in aggravation of the preexisting ventricular arrhythmia, vasopressin was used to maintain blood pressure. The vasopressin continous infusion was started at 0.00002 units/kg/min and titrated up to 0.0003 U/kg/min. This low dose led to resolution of hypotension without causing side effects. As the appropriate indication and dose of vasopressin is not established, the cautious use of vasopressin in children is recommended.

Keywords

Vasopressin Vasodilatory shock Endocarditis Cardiopulmonary bypass—children