Status of main hemodynamic indices according to transpulmonary thermodilution in children weighting up to 10 kg after correction of congenital heart diseases with pulmonary hypovolemia

O. V. Strunin, A. A. Perevozchikova, V. V. Lomivorotov, Yu N. Gorbatikh, S. N. Prokhorov, L. G. Knyaz’kova

Research output: Contribution to journalArticlepeer-review

Abstract

26 infants aged 2 months — 1 year (mean age — 7 months) and weighting less than 10 kg (6,6±1,3 in average) with congenital heart diseases (left-to-right shunts) operated under hypothermic perfusion were investigated. Hemodynamics was studied using PiCCO-plus device. Level of atrial natriuretic peptide (BNP) and standard clinical indices were measured as well. It is ascertained that condition of main factors impacting the cardiac output in postoperative period is subjected to rapid dynamic changes. The most critical period of decreased cardiac function is from 12 to 24 hours after the operation. Combination of indices reflecting left ventricular contractility (dPmax), cardiac function (CFI) and extravascular pulmonary water (ELWI) that has been measured in the period of maximal intension of compensatory mechanisms (12 hours after the operation) has the highest prognostic value.

Original languageEnglish (US)
Pages (from-to)98-103
Number of pages6
JournalKardiologiya i Serdechno-Sosudistaya Khirurgiya
Volume5
Issue number2
StatePublished - 2012

All Science Journal Classification (ASJC) codes

  • Surgery
  • Cardiology and Cardiovascular Medicine

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