Abstract
Patients undergoing cardiac operations especially in combination with cardiopulmonary bypass present with important functional changes in almost all organ systems. The extent of these changes and hence its clinical importance depend on various factors such as preoperative function and degree of functional reserves (e.g. kidney, lung), duration and adequacy of extracorporeal support or nature of cardiac lesion and completeness of its repair. However, the techniques of postoperative care for cardiac patients are similar to those applied to other categories of critically ill patients. The understanding of the underlying pathophysiologic mechanisms of the separate but interrelated organ dysfunction can considerably improve the management of these patients.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsPreview
Unable to display preview. Download preview PDF.
References
Dietzman RH, Ersek RA, Lillehei CW, Castaneda AR, Lillehei RA (1969) Low output syndrome: Recognition and treatment. J Thorac Cardiovasc Surg 57:138–146
Curtis JJ, Maloney JD, Barnhorst DA, Pluth JR, Hartzler GO, Wallace RB (1977) A critical look at temporary ventricular pacing following cardiac surgery. Surgery 82:888–893
Hilton JD, Weisel RD, Baird RJ, et al (1981) The hemodynamic and metabolic response to pacing after aortocoronary bypass. Circulation 64 (Suppl II):48–53
Mangano DT (1980) The effect of the pericardium on ventricular systolic function in man. Circulation 61:352–357
Hansen RM, Viquerat CE, Matthay MA, et al (1986) Poor correlation between pulmonary arterial wedge pressure and left ventricular end-diastolic volume after coronary artery bypass graft surgery. Anesthesiology 64:764–770
Kouchoukos NT, Shepherd LC, Kirklin JW (1972) Effect of alterations in arterial pressure on cardiac performance early after open cardiac operations. J Thorac Cardiovasc Surg 64:563–572
Weisel RD, Burns RJ, Baird RJ, et al (1983) Optimal postoperative volume loading. J Thorac Cardiovasc Surg 85:552–563
Gall WE, Clarke WR, Doty DB (1982) Vasomotor dynamics associated with cardiac operations. J Thorac Cardiovasc Surg 83:724–731
Kaplan JA, Jones EL (1979) Vasodilator therapy during coronary artery surgery. Comparison of nitroglycerin and nitroprusside. J Thorac Cardiovasc Surg 77:301–309
Marco JD, Standeven JW, Barner HB (1980) Afterload reduction with hydralazine following valve replacement. J Thorac Cardiovasc Surg 80:50–53
Feola M, Wiener L, Walinsky P, et al (1977) Improved survival after coronary bypass surgery in patients with poor left ventricular function: Role of intra-aortic balloon counterpulsation. Am J Cardiol 39:1021–1026
Gray R, Maddahi J, Berman D, et al (1979) Scintigraphic and hemodynamic demonstration of transient left ventricular dysfunction immediately after uncomplicated coronary artery bypass grafting. J Thorac Cardiovasc Surg 77:504–510
Roberts AJ, Spies SM, Sanders J, et al (1981) Serial assessment of left ventricular performance following coronary artery bypass grafting. J Thorac Cardiovasc Surg 81:69–84
Goenen M, Pedemonte O, Baele P, Col J (1985) Amrinone in the management of low cardiac output after open heart surgery. Am J Cardiol 56:33B–37B
Olsen KH, Kluger J, Fieldman A (1988) Combination high dose amrinone and dopamine in the management of moribund cardiogenic shock after open heart surgery. Chest 94:503–506
Colucci WS, Wright RF, Braunwald E (1986) New positive inotropic agents in the treatment of congestive heart failure. Mechanisms of action and recent clinical developments (two parts). N Engl J Med 314:290–299
349–358
Hill JD, Farrar DJ, Hershon JJ, et al (1986) Use of a prosthetic ventricle as a bridge to cardiac transplantation for postinfarction cardiogenic shock. N Engl J Med 314:626–628
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1989 Springer-Verlag Berlin Heidelberg
About this paper
Cite this paper
Neidhart, P., Suter, P.M. (1989). Management of Cardiovascular Dysfunction After Cardiac Surgery. In: Vincent, J.L. (eds) Update 1989. Update in Intensive Care and Emergency Medicine, vol 8. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-83737-1_67
Download citation
DOI: https://doi.org/10.1007/978-3-642-83737-1_67
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-50879-3
Online ISBN: 978-3-642-83737-1
eBook Packages: Springer Book Archive