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Correspondence
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Volume 336:731-732 March 6, 1997 Number 10
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Adrenoleukodystrophy Presenting as Postperfusion Syndrome

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To the Editor: The postperfusion syndrome, an uncommon event after open-heart surgery with extracorporeal circulation, is associated with a young age at surgery (less than one year) and bypass lasting longer than 60 minutes.1,2 We report an unusual case of a life-threatening syndrome that occurred after the surgical repair of isolated conal ventricular septal defect.

An 18-year-old man underwent transpulmonary patch repair of ventricular septal defect with cardiopulmonary bypass for 50 minutes. Preoperatively, the patient had normal mental development, a slight gait disorder, and unremarkable electroencephalographic and laboratory findings. Twelve hours after surgery, he had hypotension (blood pressure, 70/30 mm . . . [Full Text of this Article]

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