ARTERIAL SWITCH AND RESECTION OF HEPATIC HEMANGIOENDOTHELIOMA

We report on the management of a neonate undergoing arterial switch fo r transposition of the great arteries and concomitant resection of a h epatic infantile hemangioendothelioma. A preoperative aortogram demons trated the arterial supply of the hepatic hemangioendothelioma. Pulmon ary artery hypertension and myocardial ischemia were noted after separ ation from cardiopulmonary bypass. Resection of the hepatic malformati on produced an immediate reduction in pulmonary hypertension and resol ution of the myocardial ischemia. The patient had an uneventful postop erative recovery.