Importance of pulmonary artery perfusion in cardiac surgery
Küçük Resim Yok
Tarih
2004
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
W B Saunders Co-Elsevier Inc
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Objective: To investigate the importance of pulmonary artery perfusion in cardiac surgery. Design: Prospective randomized study. Setting: University hospital. Participants: Patients undergoing cardiac surgery. Interventions: Patients in whom the cross-clamp was applied only to the aorta were defined as group 1 (n = 11) and patients in whom the cross-clamp was applied to both the aorta and pulmonary artery were defined as group 2 (n = 11). Measurement and Results: Tissue samples obtained from the lower lobe of the left lung before CPB, 20 minutes after cross-clamping, and 20 minutes after declamping were examined under light and electron microscopes. Electron microscopic examination revealed changes in the blood-air barrier, epithelia[ cells, pneumocytes, and basal membrane were more prominent in group 2. Changes in the leukocyte, neutrophil, and lymphocyte counts of blood samples obtained from the right atrium and right superior pulmonary vein before CPB and 5, 30, 60, and 90 minutes after the removal of clamp were also investigated. The transpulmonary difference was statistically significant at 5 and 30 minutes after declamping in group 1. In group 2, transpulmonary differences continued to be significant at 5, 30, 60, and 90 minutes after declamping. There was no difference between groups in terms of PaO2/F1O2 ratio before CPB (group 1: 342.0 +/- 80.0 mmHg, group 2: 349.0 +/- 67.0 mmHg); however, a statistically significant difference was found between the groups 2 hours after declamping (group 1: 418.0 +/- 87.0 mmHg and group 2: 290.0 +/- 110.0 mmHg; p = 0.007). Conclusion: Pulmonary artery perfusion was found to be important in cardiac surgery. (C) 2004 Elsevier Inc. All rights reserved.
Açıklama
Anahtar Kelimeler
Pulmonary Artery Perfusion, Blood-Air Barrier, Electron Microscopy, Cardiopulmonary Bypass, Lung Injury, Inflammatory Response, Reperfusion, Dysfunction, Ischemia
Kaynak
Journal Of Cardiothoracic And Vascular Anesthesia
WoS Q Değeri
Q3
Scopus Q Değeri
Q2
Cilt
18
Sayı
2
