2000
DOI: 10.1590/s0102-76382000000400001
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Assistência ventricular direita facilitando revascularização de vasos posteriores com coração batendo: experiência clínica inicial

Abstract: RESUMO: Na revascularização do miocárdio com o coração batendo, a exposição das artérias posteriores durante a esternotomia pode levar à deterioração hemodinâmica necessitando um suporte inotrópico. Estudos experimentais recentes demonstraram o benefício hemodinâmico da assistência ventricular direita (AVD).Objetivo: Avaliar os efeitos hemodinâmicos da AVD durante a manipulação cardíaca para expor as artérias coronárias posteriores, determinando seu efeito em: restaurar a hemodinâmica, aumentando a exposição a… Show more

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“…This issue remained unclear and could be better evaluated placing a catheter in either pulmonary artery branches or trunk to measure the pressure yielded by the pump flow to the pulmonary vessels. Measurement of the pulmonary artery pressure during the right heart bypass was described by Lima et al [18] in which they used right circulatory support for CABG surgery. In this study the pulmonary artery pressure ranged from 17 to 18 mmHg during the procedure.…”
Section: Discussionmentioning
confidence: 99%
“…This issue remained unclear and could be better evaluated placing a catheter in either pulmonary artery branches or trunk to measure the pressure yielded by the pump flow to the pulmonary vessels. Measurement of the pulmonary artery pressure during the right heart bypass was described by Lima et al [18] in which they used right circulatory support for CABG surgery. In this study the pulmonary artery pressure ranged from 17 to 18 mmHg during the procedure.…”
Section: Discussionmentioning
confidence: 99%