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フルテキストURLA020035000103.pdf ( 622.7KB ) 公開日 2010-04-19
タイトルCharacteristics Postoperative Hemodynamics in Aortocoronary Bypass and Mitral valve Surgery
作成者Mori, Fumiki
Miyamoto, Masaki
Fujimura, Yoshihiko
Noda, Hiroshi
Tada, Yoshikazu
Katoh, Tomoe
Ueki, Kohichi
Esato, Kensuke
作成者ヨミモリ, フミキ
ミヤモト, マサキ
フジムラ, ヨシヒコ
ノダ, ヒロシ
タダ, ヨシカズ
カトウ, トモエ
ウエキ, コウイチ
エサト, ケンスケ
作成者所属山口大学医学部
内容記述(抄録等)To determine the characteristics of postoperative homodynamics following aortocoronary bypass surgery (CABG) and mitral valve surgery, twenty three patients (13 patients undergoing CABG, 10 patients undergoing mitral valve surgery) were studied. Sequential hemodynamic measurements during early postoperative period revealed the following : (1) Sydtemic hypertension caused by elevated systemic vascular resistance was seen immedietely after aortocoronary bypass surgery, and it induced a deterioration of cardiac performance. (2) In the patients undergoing mitral valve surgery. Central venous pressure, pulmonary arterial pressure, pulmonary capillary wedge pressure and pulmonary vascular resistance were significantly higher than those in the patients undergoing CABG during 24 hours postoperatively. (3) Cardiac index and left ventricular stroke work in the CABG group showed better improvements in late study period than those in the mitral valve group, according to reduction in systemic vascular resistance. (4) Preperative pulmonary hypertension associated with mitral valve disease decreased significantly after surgery, but there were some patients demonstrated no significant reduction in pulmonary vascular resistance. The results suggest that the homodynamic alterations during postperative period were influenced by peripheral vascular resistance and preexsting disease.
本文言語eng
著者キーワードCardiac surgery
Postoperative hemodynamics
主題医学
資料タイプtext
ファイル形式application/pdf
出版者Yamaguchi University Graduate School of Medicine
NII資料タイプ紀要論文
ISSN0513-1812
NCIDAA00594272
学内刊行物(紀要等)The bulletin of the Yamaguchi Medical School
掲載誌名The bulletin of the Yamaguchi Medical School
掲載誌名別表記山口医科大学紀要
35
1-2
開始ページ15
終了ページ22
発行日1988-06
著者版/出版社版出版社版
リポジトリIDA020035000103
地域区分山口大学
URIhttp://www.lib.yamaguchi-u.ac.jp/yunoca/handle/A020035000103