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Cited 33 times in

Change in right ventricular function during off-pump coronary artery bypass graft surgery

DC Field Value Language
dc.contributor.author곽영란-
dc.contributor.author오영준-
dc.contributor.author유경종-
dc.contributor.author이종화-
dc.date.accessioned2015-07-14T16:34:44Z-
dc.date.available2015-07-14T16:34:44Z-
dc.date.issued2004-
dc.identifier.issn1010-7940-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/111175-
dc.description.abstractOBJECTIVES: Hemodynamic derangement during displacement of beating heart in off-pump coronary artery bypass graft (OPCAB) surgery might be related with right ventricular (RV) dysfunction. We evaluated RV function and hemodynamic alterations using a thermodilution pulmonary artery catheter. METHODS: The study included 30 patients undergoing OPCAB, using single pericardial suture and tissue stabilizer. A thermodilution pulmonary artery catheter for continuous monitoring of the cardiac output (CO), right ventricular ejection fraction (RVEF) and RV volume was inserted before anesthesia. The hemodynamic variables were measured after the induction of anesthesia, 5 min after the heart was positioned for each coronary anastomosis and after the sternum was closed. RESULTS: There was no significant change in the RVEF and cardiac index during anastomosis of the left anterior descending artery and right coronary artery. However, the significantly reduced RVEF accompanied by an increase in RV afterload and decrease in the CO was observed during anastomosis of the obtuse marginal (OM) artery. RV volumes did not significantly change during anastomoses, though the right atrial pressure increased during anastomoses of all coronary arteries. CONCLUSIONS: The displacement of beating heart for positioning during anastomosis of the graft to OM artery caused significant derangement of RV function and decrease in CO. A thermodilution catheter continuously measuring the CO and RVEF was useful to monitor the change in RV function and volume during OPCAB.-
dc.description.statementOfResponsibilityopen-
dc.format.extent572~577-
dc.relation.isPartOfEUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAged-
dc.subject.MESHCardiopulmonary Bypass-
dc.subject.MESHCoronary Artery Bypass/methods*-
dc.subject.MESHFemale-
dc.subject.MESHHemodynamics-
dc.subject.MESHHumans-
dc.subject.MESHIntraoperative Period-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHMonitoring, Intraoperative/methods-
dc.subject.MESHProspective Studies-
dc.subject.MESHStroke Volume-
dc.subject.MESHThermodilution-
dc.subject.MESHVentricular Function, Right/physiology*-
dc.titleChange in right ventricular function during off-pump coronary artery bypass graft surgery-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Thoracic & Cardiovascular Surgery (흉부외과학)-
dc.contributor.googleauthorY.L. Kwak-
dc.contributor.googleauthorY.J. Oh-
dc.contributor.googleauthorY.W. Hong-
dc.contributor.googleauthorJ.H. Lee-
dc.contributor.googleauthorK.J. Yoo-
dc.contributor.googleauthorS.M. Jung-
dc.identifier.doi10.1016/j.ejcts.2004.01.005-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA00172-
dc.contributor.localIdA02389-
dc.contributor.localIdA02453-
dc.contributor.localIdA03154-
dc.relation.journalcodeJ00811-
dc.identifier.eissn1873-734X-
dc.identifier.pmid15037274-
dc.identifier.urlhttp://ejcts.oxfordjournals.org/content/25/4/572.long-
dc.subject.keywordOff-pump coronary artery bypass grafting-
dc.subject.keywordRight ventricular ejection fraction-
dc.subject.keywordThermodilution pulmonary artery catheter-
dc.subject.keywordRight heart function-
dc.contributor.alternativeNameKwak, Young Lan-
dc.contributor.alternativeNameOh, Young Jun-
dc.contributor.alternativeNameYoo, Kyung Jong-
dc.contributor.alternativeNameLee, Jong Wha-
dc.contributor.affiliatedAuthorKwak, Young Lan-
dc.contributor.affiliatedAuthorOh, Young Jun-
dc.contributor.affiliatedAuthorYoo, Kyung Jong-
dc.contributor.affiliatedAuthorLee, Jong Wha-
dc.rights.accessRightsnot free-
dc.citation.volume25-
dc.citation.number4-
dc.citation.startPage572-
dc.citation.endPage577-
dc.identifier.bibliographicCitationEUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY, Vol.25(4) : 572-577, 2004-
dc.identifier.rimsid36185-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Thoracic and Cardiovascular Surgery (흉부외과학교실) > 1. Journal Papers

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