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

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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.

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Authors and Affiliations

  1. Department of Pediatric Cardiology, Children’s Heart Center Linz, Krankenhausstr. 26, 4020, Linz, Austria

    E. Lechner

  2. Pediatric Cardiac Intensive Care Unit, Texas Children’s Hospital and Department of Pediatrics, Baylor College of Medicine, 6621 Fannin, MC 19810, Houston, TX, 77030, USA

    H. A. Dickerson & A. C. Chang

  3. Congenital Heart Surgery, Texas Children’s Hospital and Department of Surgery, Baylor College of Medicine, 6621 Fannin, MC 19810, Houston, TX, 77030, USA

    C. D. Fraser Jr.

Authors
  1. E. Lechner
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  2. H. A. Dickerson
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  3. C. D. Fraser Jr.
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  4. A. C. Chang
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Corresponding author

Correspondence to A. C. Chang.

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Lechner, E., Dickerson, H.A., Fraser, C.D. et al. Vasodilatory Shock After Surgery for Aortic Valve Endocarditis: Use of Low-Dose Vasopressin. Pediatr Cardiol 25, 558–561 (2004). https://doi.org/10.1007/s00246-003-0544-x

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  • DOI: https://doi.org/10.1007/s00246-003-0544-x

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