2004
DOI: 10.1055/s-2004-817875 View full text |Buy / Rent full text
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Abstract: Surgical treatment of aortic regurgitation due to Behçet's disease is difficult. A 57-year-old male with Behçet's disease underwent aortic valve replacement with a mechanical valve for aortic regurgitation in 1995. Due to prosthetic valve detachment, 5 months thereafter he underwent a Bentall type operation with a composite graft. Due to complication of the left ventricle to pulmonary arterial fistula, 6 months later a third operation was performed for closure of the fistula. He is doing well at present 5 year… Show more

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“…Examination of BNP during reperfusion revealed significant elevated BNP concentration in the coronary sinus 10 min after aortic unclamping [20] and in the radial artery for the first time 2 h after termination of cardiopulmonary bypass [22]. In venous samples, BNP plasma concentration remained unchanged until 6 h after cessation of bypass [21], followed by an increase with a peak plasma concentration occurring 24 h post-bypass [21,24,26]. In our patients, BNP levels were not significantly different immediately after surgery compared to preoperative values, and the highest BNP plasma concentration was measured on average 1.3 days after surgery.…”
Section: Discussionmentioning
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“…Examination of BNP during reperfusion revealed significant elevated BNP concentration in the coronary sinus 10 min after aortic unclamping [20] and in the radial artery for the first time 2 h after termination of cardiopulmonary bypass [22]. In venous samples, BNP plasma concentration remained unchanged until 6 h after cessation of bypass [21], followed by an increase with a peak plasma concentration occurring 24 h post-bypass [21,24,26]. In our patients, BNP levels were not significantly different immediately after surgery compared to preoperative values, and the highest BNP plasma concentration was measured on average 1.3 days after surgery.…”
Section: Discussionmentioning
“…In a limited number of studies the impact of natriuretic peptides to assess postoperative myocardial dysfunction in conventional CABG patients is contradictory [14,15,25]. Less data are available about the BNP release in OPCAB surgery.…”
Section: Discussionmentioning
“…At the cleavage of proBNP NT-proBNP (aminoacid 1-76) and BNP (aminoacid 77-108) were released equimolecularly. Recent studies have shown that serum concentrations of BNP and NT-proBNP are comparable and elevated after CABG procedures [14,15]. CRP levels for unspecific inflammation were measured by a commercially available latex-enhanced immunoturbidimetric assay (Tina-quant system, Roche Diagnostics, detection limit 0.1 mg/dl).…”
Section: Laboratory Analysismentioning
“…2 Elevations of NT-proBNP and BNP peripheral blood concentrations reflect an impaired cardiac ventricular function in comparison to that observed following cardiopulmonary bypass and cardioplegic arrest. [3][4][5][6][7] Conventional coronary artery bypass grafting (CABG) surgery uses cardiopulmonary bypass (CPB) to allow cardiac surgeons to operate on a motionless heart that has been arrested by means of cardioplegia. Off-pump CABG is a newly developed technology that seems to reduce the incidence of postoperative myocardial injury.…”
Section: Introductionmentioning