Publication in refereed journal
香港中文大学研究人员 ( 现职)
| 孙德生教授 (医学院) |
| 严秉泉教授 (外科学系) |
| 许金山教授 (麻醉及深切治疗学系) |
全文
| 数位物件识别号 (DOI) http://dx.doi.org/10.1111/j.1540-8191.1999.tb00965.x |
引用次数
Web of Sciencehttp://aims.cuhk.edu.hk/converis/portal/Publication/0WOS source URL
其它资讯
摘要Background: While the operative technique of left ventricular volume reduction (LWR) is rapidly becoming standardized, the optimal perioperative management strategy is yet to be determined. We present our experience with the care of patients undergoing LVVR. Methods: LVVR was performed in 21 patients (mean age = 65.5 years) with congestive heart failure. Our management strategy was initially based on afterload reduction with sodium nitroprusside, but was later modified to include routine preoperative intra-aortic balloon support, normothermic cardiopulmonary bypass, antegrade intermittent warm blood cardioplegia, and postoperative support with phosphodiesterase-III inhibitors. Hemodynamic manipulations are aimed to attain systemic vascular resistance between 6http://aims.cuhk.edu.hk/converis/portal/Publication/0http://aims.cuhk.edu.hk/converis/portal/Publication/0 and 8http://aims.cuhk.edu.hk/converis/portal/Publication/0http://aims.cuhk.edu.hk/converis/portal/Publication/0 dyne/sec per cm(-5) and the lowest mean blood pressure that is able to maintain satisfactory systemic perfusion. Postoperatively, aggressive antifailure medical therapy with a high dose of angiotensin converting enzyme inhibitors, nitrates, and diuretics was initiated early and maintained indefinitely. Results: Using this approach, postoperative progress was characterized by hemodynamic stability. IABP support was used for 59.6 +/- 9 hours following surgery, and inotropic support for 1http://aims.cuhk.edu.hk/converis/portal/Publication/03 +/- 12 hours. In our series there were four (19%) in-hospital deaths, two of which were related to heart failure. Conclusion: The described approach is associated with an acceptable early outcome. However, further advances in myocardial protection methods and pharmacological and mechanical support techniques are necessary for a wider adoption of this procedure.
着者Izzat MB, Buckley T, Khaw KS, Yim APC, Sanderson JE, Angelini GD
会议名称Conference on Left Ventricle Volume Reduction, the Batista Operation
会议开始日25.http://aims.cuhk.edu.hk/converis/portal/Publication/06.1998
会议完结日25.http://aims.cuhk.edu.hk/converis/portal/Publication/06.1998
会议地点PESCARA
期刊名称JOURNAL OF CARDIAC SURGERY
出版年份1999
月份3
日期1
卷号14
期次2
出版社FUTURA PUBL CO
页次136 - 14http://aims.cuhk.edu.hk/converis/portal/Publication/0
国际标準期刊号http://aims.cuhk.edu.hk/converis/portal/Publication/0886-http://aims.cuhk.edu.hk/converis/portal/Publication/044http://aims.cuhk.edu.hk/converis/portal/Publication/0
语言英式英语
Web of Science 学科类别Cardiac & Cardiovascular Systems; CARDIAC & CARDIOVASCULAR SYSTEMS; Cardiovascular System & Cardiology; Surgery; SURGERY
