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Date Published: 25/07/2023
Online Published: 25/07/2023
Abstract Views: 181
Views PDF: 104
DOI: https://doi.org/10.47972/vjcts.v42i.901
Issue
Vol. 42
Section
Research Article
How to Cite
Trung, H. V., Trang, P. T. T. ., Son, D. H., & Thuy, N. T. (2023). Low cardiac output syndrome after cardiac surgery with extracirculatory at cardiovascular center, E hospital. The Vietnam Journal of Cardiovascular and Thoracic Surgery, 42, 48-54. https://doi.org/10.47972/vjcts.v42i.901

Low cardiac output syndrome after cardiac surgery with extracirculatory at cardiovascular center, E hospital

Hoang Van Trung, Pham Thi Thu Trang, Dam Hai Son, Nguyen Tran Thuy

Main Article Content

Abstract

Background: Low cardiac output syndrome is one of the most severe complications after cardiac surgery, associated with 38% mortality, increased rates of respiratory complications, myocardial infarction, stroke, and heart failure. kidney and re-surgery. If the signs are detected early and diagnosed in time, the treatment will give better results.


Objectives: Description of clinical, subclinical characteristics and evaluation of early results of treatment of patients with low cardiac output syndrome after cardiac surgery at Cardiovascular Center, E hospital.


Methods: Retrospective report of 3 cases of low cardiac output syndrome with confirmed diagnosis, treatment and comparison with the literature.


Results: From January 2022 to May 2023, 3 patients with low cardiac output syndrome were confirmed at the cardiovascular center, E hospital .The mortality rate is 66.7 % , mean age was 57.3 ±9.3 , mean preoperative EF 62 ±13.7 , mean postoperative cardiac index 1.5 ±0.2 l/ minute /m 2 , mean extracorporeal circulation time 172 ±63.4 minutes , mean aortic cross-clamp time 107 ±28.4 minutes


Conclusion: Low cardiac output syndrome after surgery is a serious complication with high mortality risk. Doctors need to know the early signs for timely diagnosis and proper treatment to help patients recover best.

Article Details

Keywords

Low cardiac output syndrome, open heart surgery

References

[ 1]. Maganti M, Badiwala M, Sheikh A et al(2010), Predictors of low cardiac output syndrome after isolated mitral valve surgery, J Thorac Cardiovasc Surg, 140(4): pp. 790-6.
[ 2 ]. Maganti M, Rao V, Borger MA et al (2005), Predictors of low cardiac output syndrome after isolated aortic valve surgery,Circulation-American Heart Association, 112(9 Suppl): pp. I448-52
[3]. Miceli A, Fiorani B, Danesi TH et al (2009), Prophylactic intra-aortic balloon pump in high-risk patients undergoing coronary artery bypass grafting: a propensity score analysis., Interact CardioVasc Thorac Surg, 9(2): pp. 291-4.
[ 4]. Algarni KD, Maganti M, Yau TM: Predictors of low cardiac output syndrome after isolated coronary artery bypass surgery: trends over 20 years. Ann Thorac Surg 92:1678–1684, 2011
[5]. RaoV, IvanovJ, WeiselRDetal(1996), Predictors of low cardiac output syndrome after coronary artery bypass, J Thorac Cardiovasc Surg: pp. 38-51.
[6]. RaoV, IvanovJ, WeiselRDetal(1996), Predictors of low cardiac output syndrome after coronary artery bypass, J Thorac Cardiovasc Surg: pp. 38-51.
[7]. Robitaille A, Denault AY, Couture P. et al (2006), IImportance of relative pulmonary hypertension in cardiac surgery: the mean systemic-to-pulmonary artery pressure ratio, J Cardiothorac Vasc Anesth, 20: pp. 331- 9.
[8]. Surgenor SD, Defoe GR, Fillinger MP. et al (2006), Intraoperative red blood cell transfusion during coronary artery bypass graft surgery increases the risk of postoperative low-output heart failure, Circulation, 114: pp. I43-I48.
[9]. Reich DL, Bodian CA, Krol M. et al (1999), Intraoperative hemodynamic predictor of mortality, stroke, and myocardial infarction after coronary artery bypass surgery, Anesth Analg, 89: p. 814.
[10]. Le Xuan Duong (2013), Identification of risk factors for low cardiac output syndrome after open-heart surgery, extracorporeal circulation, Practical medicine, 5, 109-113
[11]. Robitaille A, Denault AY, Couture P. et al (2006), IImportance of relative pulmonary hypertension in cardiac surgery: the mean systemic-to-pulmonary artery pressure ratio, J Cardiothorac Vasc Anesth, 20: pp. 331- 9.
[12]. Inge T. Bootsma. Right ventricular function after cardiac surgery is a strong independent predictor for long-term mortality. Journal of Cardiothoracic and Vascular Anesthesia. 2017, 31, pp.1656-1662.