Simultaneous surgical procedures under cardiopulmonary bypass

Комаров, Р. Н.; Chernyavsky, S. V.

doi:10.17116/kardio20181106175

Cited by 3 publications

(1 citation statement)

References 2 publications

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“…Cardiological patients, who are in great necessity of surgical treatment of noncardiac conditions, especially malignant tumors, belong to a complex patient category because one of the diseases can be a contraindication for radical treatment of another [ 1 ]. According to a recent major epidemiological study, there are about 5000 cases of esophageal squamous cell carcinoma registered annually in the Russian Federation among men and >1000 among women [ 2 ].…”

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confidence: 99%

The First Case of Simultaneous Surgical Procedure for Mitral Valve Disease and Esophageal Cancer

et al. 2021

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Cardiological patients with malignant tumors belong to a complex category of patients. We present the world’s first case of simultaneous surgical treatment of severe mitral valve disease and esophageal cancer. The patient underwent simultaneous replacement of the mitral valve and the Ivor-Lewis procedure using right thoracotomy and upper midline laparotomy. The patient underwent 3 courses of chemotherapy (paclitaxel and 5-fluoroucil). Follow-up for 8 months showed no signs of tumor recurrence or cardiac problems. A dextral thoracotomy with the lung deprivation, supplemented by an upper median laparotomy, achieved us convenient access to the mitral valve and to all parts of the esophagus, including groups of compromised lymph nodes. This case demonstrates the modern possibilities of simultaneous cardio and oncosurgery that allows eliminating competitive fatal diseases in 1 surgical and anesthetic intervention.

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Section: Introductionmentioning

confidence: 99%

The First Case of Simultaneous Surgical Procedure for Mitral Valve Disease and Esophageal Cancer

et al. 2021

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Simultaneous surgery for upper gastrointestinal cancer and cardiovascular diseases

Комаров¹,

Zamay²,

Егоров³

et al. 2023

Khir. Z. im. N.I. Pirogova

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The Role of Hypovolemia and Hemoreological Changes in the Pathogenesis of Systemic Circulation Diseases in the Postresuscitation Period of Acute Myocardial Infarction

Лисаченко

Будаев

Банных

2019

Kompleks. probl. serdečno-sosud. zabol.

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Aim. To determine the role of volume imbalance and alterations in the rheological properties of blood in the pathogenesis of postresuscitation hemocirculatory disorders in dogs after clinical death due to acute myocardial infarction.Methods. Changes in systemic hemodynamics, volume and dynamic viscosity of circulating blood within a 5-minute period after clinical death due to myocardial infarction were evaluated in a dog model. 152 dogs received pentobarbital anesthesia.Results. In the early postresuscitation period after myocardial infarction dogs developed phase changes in systemic hemodynamics, volume and dynamic viscosity of circulating blood with an increase in the target indicators, followed by their decrease and final normalization as compared to the baseline. The development of postresuscitation systemic hyperperperfusion (1–3 min) was associated with significantly increased blood volume and its components. The subsequently decreased perfusion volume (5–30 min) was caused by depressed contractile function of the heart. The further progression (1–9 hours) of the hypoperfusion syndrome was mainly attributed to hypovolemia, increased dynamic viscosity of the blood and the viscoelastic properties of the red blood cells. The contribution of heart rhythm disturbances (polytopic ventricular extrasystoles) to the development of circulatory failure 4–5 hours after the successful resuscitation was determined. The subsequent hemodynamic improvements were associated with the normalization of the circulating plasma volume and hemorheological properties of the blood.Conclusion. Staged disorders of the systemic circulation formed in the recovery period after clinical death following acute myocardial infarction. They were accompanied by the alterations in the volume and dynamic viscosity of the circulating blood. Immediately after the revival, elevated values of the hemodynamic parameters were attributed to the increased blood flow as well as to the increased in plasma and globular components. The initial (5–30 min) decrease in the cardiac output was caused by impaired myocardial contractility. After a recovery period of 1–9 hours, a progressive decrease in the perfusion volume demonstrated a direct linear relationship with a deficit of blood flow and its plasma component. Heart rhythm disturbances contributed to the development of insufficient blood circulation in the 4–5-hour recovery period. Thus, hypovolemia and the hyperviscous syndrome associated with it significantly contributed to the development of insufficient systemic circulation within the 1–9-hour recovery period after clinical death provoked by myocardial infarction.

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Simultaneous surgical procedures under cardiopulmonary bypass

Cited by 3 publications

References 2 publications

The First Case of Simultaneous Surgical Procedure for Mitral Valve Disease and Esophageal Cancer

The First Case of Simultaneous Surgical Procedure for Mitral Valve Disease and Esophageal Cancer

Simultaneous surgery for upper gastrointestinal cancer and cardiovascular diseases

The Role of Hypovolemia and Hemoreological Changes in the Pathogenesis of Systemic Circulation Diseases in the Postresuscitation Period of Acute Myocardial Infarction

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