PEDIATRICS Vol. 68 No. 5 November 1981, pp. 750-751
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Air in the Ductus?

S. H. Calmes MD1

1 Department of Anesthesiology, UCLA School of Medicine, Center for the Health Sciences, Los Angeles, CA 90024

The article "Paraplegia Due to Peripheral Venous Air Embolus in a Neonate: A Case Report" (Pediatrics 67:472, 1981) needs further discussion.

Although it is possible that the foramen ovale (FO) was the site of cross-over of air from venous to arterial circuits, it is equally possible that the ductus was the shunt site in this 24-hour-old infant. The ductus is usually functionally closed by age 24 hours but is capable of reopening in response to hypoxia.


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