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2 edition of Low-output syndrome complicating open-heart surgery found in the catalog.

Low-output syndrome complicating open-heart surgery

Antero JaМ€rvinen

Low-output syndrome complicating open-heart surgery

a Clinical study and observations on mechanical circulatory assistance.

by Antero JaМ€rvinen

  • 302 Want to read
  • 7 Currently reading

Published by Department of Thoracic Surgery, University Central Hospital in Helsinki .
Written in English


ID Numbers
Open LibraryOL21259608M
ISBN 109519906843

Abstract. Objective: This retrospective study was designed to assess the risks of acute ascending aorta dissection (AAD) as a rare but potentially fatal complication of open heart : Among cardiac surgical procedures under cardiopulmonary bypass (CPB) and cardioplegic myocardial protection from to , 10 patients (%) presented with a secondary or so called.   [3] Pediatr Crit Care Med. Nov;6(6) Suominen et al: Hemodynamic effects of rescue protocol hydrocortisone in neonates with low cardiac output syndrome after cardiac surgery [4] Am Heart J. Jan;(1) Hoffmann, Wernovsky et al: Prophylactic intravenous use of milrinone after cardiac operation in pediatrics (PRIMACORP) study.

This paper reports a case of cytomegalovirus (CMV) infection complicating heart surgery in connection with extracorporeal circulation, transfusion of fresh blood and medication of corticosteroids. The clinical syndrome was different from that reported in a small number of . open heart surgery. Table 1-Preoperaliee Daeriplion o/ Pldien1 Populadon Patient Data (N-9)* Mean Range Age, yr 57 Previous MI 5 Preoperative Cardiac index, L/m/m' Pulmonary capillary pressure, mm Hg 16 Ejection fraction, % 51 Number of diseased veela, ~75% *Six men, three women.

Central Nervous System Complications of Open Heart Surgery ANTHONY J. FURLAN, M.D., AND ANTHONY F.A.C.P C. BREUER, M.D.., Stroke and encephalopathy remain major causes of morbidity and occasional mortality complicating open heart surgery. Open heart surgery poses many hemo-dynamic, embolic, and metabolic threats to the brain. Conclusion:Higher peak Low Cardiac Output Syndrome Score and cumulative Low Cardiac Output Syndrome Score were associated with increased morbidity and resource utilization among infants fol-lowing surgery for congenital heart defects and might be a useful tools in future cardiac intensive care research. Independent valida-tion is required.


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Low-output syndrome complicating open-heart surgery by Antero JaМ€rvinen Download PDF EPUB FB2

Ann Clin Res. Dec;7(6) Low-output syndrome as a complication of open-heart surgery in 85 patients. Järvinen A. Low-output syndrome (LOS) was manifested after cardiopulmonary bypass in 33% of the patients undergoing mitral valve replacement in 12% of those submitted to aortic valve surgery, and in 16% of the patients on whom coronary artery bypass surgery was by: 6.

Author(s): Järvinen,Antero Title(s): Low-output syndrome complicating open-heart surgery: a clinical study and observations on mechanical circulatory assistance/ by Antero Järvinen. Country of Publication: Finland Publisher: Helsinki: [s.n.], Description: 34 p.: ill.

A treatment with vasodilators improves under certain conditions of myocardial performance and reduces myocardial ischemia [2, 8,9]. There are, however, clinical situations Low-output syndrome complicating open-heart surgery book which the use of only one therapeutical approach alone is not sufficient for successful treatment of the low-output : K.

van Ackern, N. Franke, K. Peter, P. Schmucker. Recombinant human brain natriuretic peptide (rhBNP) could significantly improve the cardiac functions of patients after open heart surgery, and is safe as well as reliable.

Low output syndrome. The hemodynamic effects of dobutamine, dopamine, and a combination of norepinephrine-phentolamine were compared in nine patients with low cardiac output state after open heart surgery. Using a Latin square design for drug sequence, each patient was given each drug at three levels by continuous intravenous infusion.

For dobutamine and dopamine the doses wereand µg/kg/min; for Cited by: undergoing TEE for low output syndrome within 48 hours (66 patients within the first 24 hours) after cardiac operations over a month period.

Low output syn- drome was defined as a cardiac index less than or equal to L'min ~'m 2 that persisted despite the use of. fatal complication of open heart surgery.

Method: Among cardiac surgical procedures under cardiopulmonary bypass (CPB) and cardioplegic myocardial protection from to10 patients (%) presented with a secondary or so called ‘iatrogenic’ AAD. There were seven men and three women, mean age 64 ±9 years, ranging from 47 to   Mononeuritis multiplex A complication of open-heart surgery A prospective examination of all patients undergoing cardiopulmonary bypass in one unit revealed that a number of peripheral nerve lesions occurred during the postoperative period.

Pediatric cardiac surgery without ECLS back up: What is feasible. Even though progressive LCOS occurs after cardiac surgery, appropriate anticipation, early identification and aggressive management has been shown to minimize the need for ECLS to.

Bedside hemodynamic monitoring Its value in the diagnosis of tamponade complicating cardiac surgery Cardiac tamponade may be a difficult clinical diagnosis in the early postoperative period in patients undergoing open-heart surgery, particularly when the anterior or. Low output syndrome and patient’s condition improved over the course hours in 9 patients with medical management and IABP insertion and they were successfully weaned from inotropic support.

A repeat echocardiogram showed improved left ventricular ejection fraction relative to preoperative value and without regional wall motion. Open Heart Surgery and Down Syndrome Janu by Guest Post 8 Comments I posed some questions to moms who have been there, ones who have seen that the heart defects that their little T21 designer babies have, would likely cause them to leave this earth far too soon without life-saving Open Heart Surgery.

Download full text in PDF Download. Share. Export. VSD requires open-heart surgery, usually between 6 months and 1 year. The VSD (hole between pumping chambers) is patched with a cloth (usually dacron) operating through the atrium when the heart is stopped. It is successful in 99% of babies and they survive to become normal.

1 % may require a pacemaker. No further surgery is usually necessary. Volume 4, Issue 1, JulyPages Myocardial Necrosis and the Postoperative Low-Cardiac-Output Syndrome Author links open overlay panel Rodman E.

Taber M.D. Azorides R. Morales M.D. Gerald Fine M.D. (10) Get rights and content. Recognition and preemptive action against low cardiac output is one of the major challenges in cardiac surgery. Low cardiac output can be simply defined as inability of the heart to pump enough blood to meet the metabolic requirements of the body.

Persistent acidosis = Low output Toes must always be warm with good pedal pulses A combative patient - think of low output Tamponade can be a cause. Open-heart surgery is any type of heart surgery where the chest is cut open and surgery is performed on the muscles, valves, or arteries of.

Myocardial infarction complicating coronary perfusion during open-heart surgery Maurice B. Furlong, Jr., M.D., Timothy J. Gardner, M.D., Vincent L. Gott, M.D., and Grover M. Hutchins, M.D., Baltimore, Md. Xerfusion of one or both of the coronary arteries during open cardiac surgery with aortic root occlusion has been widely accepted as the safest method of affording protection to the.

Low cardiac output syndrome is a postoperative complication caused by reperfusion and ensuing oxidative stress to the pulmonary and cardiac tissues.

This syndrome is important to consider for its association with high morbidity and mortality due to impaired cardiovascular function. Fig 1 Prevalence of low cardiac output syndrome by high-risk factors. Left ventricular ejection fraction (LVEF) less thanreoperative coronary artery bypass grafting surgery (redo CABG), emergent and urgent surgery (Emerg/urg), elderly patients 75 years and older (Age 75+), left main coronary stenosis (Left main), and female gender.

following mechanical ventilation after open-heart surgery on our service. Signs and symptoms of progressive airway obstruction were first recognized one to eight weeks after extubation.

syndrome Low-output syndrome Complicating Factors Large tracheal stoma, “Pump lung” Steroids for 2 days shock Infection, shock, re tracheostomy.Welcome to Johns Hopkins Cardiac Surgery 1 The Function of the Heart 2 Who’s Taking Care of You 3 Heart Surgery 4 Preparation for Surgery 5 Preoperative Testing and Surgical Consultation 7 The Morning of Surgery 9 After Surgery 10 Going Home After Cardiac Surgery 19 How We Help with Appointments and 24 Other Arrangements for Out-of-Town Patients.The relationship between LOS, renal failure, and the cutoff values of hematocrit on CPB with respect to the need for blood transfusions is shown in Figure -output syndrome was higher in patients being transfused (P.