Biomaterial Database

[The low cardiac output syndrome after valve-conserving operations under hypothermia without perfusion]. 1997

S E Naumenko, and V S Shchukin, and T N Pyko

Under study were the frequency of occurrence and causes of development of the syndrome of low cardiac output after the saving correction of mitral defects under conditions of cranio-cerebral (1st group-80 patients), general moderate (2nd group-130 patients) and deep hypothermia (open mitral commissurotomy-3rd group of 134 patients and reconstructive operations on the mitral valve-4th group of 104 patients). Frequency of development of the complication was reliably higher in groups with deep hypothermia (1.25% of patients in the 1st group, 9.2% in the 2nd group, 27.6% in the 3rd group, 25% in the 4th group). Factors influencing the development of the low cardiac output syndrome in patients of the 2nd group was duration of the disease, in the 3rd group patients-the class according to the classification of the New York cardiological association and age of the patient, in operated patients of the 4th group it was the value of the cardio-pulmonary coefficient. Pharmaco-ice-chip cardioplegia used in patients of the 3rd and 4th groups failed to decrease frequency of the development of the low cardiac output syndrome in the postoperative period.

UI	MeSH Term	Description	Entries
D007036	Hypothermia, Induced	Abnormally low BODY TEMPERATURE that is intentionally induced in warm-blooded animals by artificial means. In humans, mild or moderate hypothermia has been used to reduce tissue damages, particularly after cardiac or spinal cord injuries and during subsequent surgeries.	Induced Hypothermia,Mild Hypothermia, Induced,Moderate Hypothermia, Induced,Targeted Temperature Management,Therapeutic Hypothermia,Hypothermia, Therapeutic,Induced Mild Hypothermia,Induced Mild Hypothermias,Induced Moderate Hypothermia,Induced Moderate Hypothermias,Mild Hypothermias, Induced,Moderate Hypothermias, Induced,Targeted Temperature Managements
D008297	Male		Males
D008875	Middle Aged	An adult aged 45 - 64 years.	Middle Age
D008943	Mitral Valve	The valve between the left atrium and left ventricle of the heart.	Bicuspid Valve,Bicuspid Valves,Mitral Valves,Valve, Bicuspid,Valve, Mitral,Valves, Bicuspid,Valves, Mitral
D010477	Perfusion	Treatment process involving the injection of fluid into an organ or tissue.	Perfusions
D011183	Postoperative Complications	Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery.	Complication, Postoperative,Complications, Postoperative,Postoperative Complication
D002303	Cardiac Output, Low	A state of subnormal or depressed cardiac output at rest or during stress. It is a characteristic of CARDIOVASCULAR DISEASES, including congenital, valvular, rheumatic, hypertensive, coronary, and cardiomyopathic. The serious form of low cardiac output is characterized by marked reduction in STROKE VOLUME, and systemic vasoconstriction resulting in cold, pale, and sometimes cyanotic extremities.	Low Cardiac Output,Low Cardiac Output Syndrome,Output, Low Cardiac
D005260	Female		Females
D006324	Heart Arrest, Induced	A procedure to stop the contraction of MYOCARDIUM during HEART SURGERY. It is usually achieved with the use of chemicals (CARDIOPLEGIC SOLUTIONS) or cold temperature (such as chilled perfusate).	Cardiac Arrest, Induced,Cardioplegia,Induced Cardiac Arrest,Induced Heart Arrest,Cardioplegias
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man