Status of main hemodynamic indices according to transpulmonary thermodilution in children weighting up to 10 kg after correction of congenital heart diseases with pulmonary hypovolemia

Strunin O.V.

Novosibirskiĭ nauchno-issledovatel'skiĭ institut patologii krovoobrashcheniia im. akad. E.N. Meshalkina Minzdravsotsrazvitiia Rossii

Perevozchikova A.A.

Novosibirskiĭ nauchno-issledovatel'skiĭ institut patologii krovoobrashcheniia im. akad. E.N. Meshalkina Minzdravsotsrazvitiia Rossii

Lomivorotov V.V.

E.N.Meshalkin National Medical Research Center under the Ministry of Health of the Russia, Novosibirsk, 630055, Russia

ORCID: 0000-0001-8591-6461

Gorbatykh Iu.N.

Novosibirskiĭ nauchno-issledovatel'skiĭ institut patologii krovoobrashcheniia im. akad. E.N. Meshalkina Minzdravsotsrazvitiia Rossii

Prokhorov S.N.

Novosibirskiĭ nauchno-issledovatel'skiĭ institut patologii krovoobrashcheniia im. akad. E.N. Meshalkina Minzdravsotsrazvitiia Rossii

Kniaz'kova L.G.

NNIIPK im. akad. E.N. Meshalkina Minzdravsotsrazvitiia Rossii, Novosibirsk

Status of main hemodynamic indices according to transpulmonary thermodilution in children weighting up to 10 kg after correction of congenital heart diseases with pulmonary hypovolemia

Authors:

Strunin O.V., Perevozchikova A.A., Lomivorotov V.V., Gorbatykh Iu.N., Prokhorov S.N., Kniaz'kova L.G.

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Journal: Russian Journal of Cardiology and Cardiovascular Surgery. 2012;5(2): 98‑103

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To cite this article:

Strunin OV, Perevozchikova AA, Lomivorotov VV, Gorbatykh IuN, Prokhorov SN, Kniaz'kova LG. Status of main hemodynamic indices according to transpulmonary thermodilution in children weighting up to 10 kg after correction of congenital heart diseases with pulmonary hypovolemia. Russian Journal of Cardiology and Cardiovascular Surgery. 2012;5(2):98‑103. (In Russ.)

Подписка 2025-2 (Russian Journal of Cardiology and Cardiovascular Surgery)

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26 infants aged 2 months - 1 year (mean age - 7 months) and weighting less than 10 kg (6,6±1,3 in average) with congenital heart diseases (left-to-right shunts) operated under hypothermic perfusion were investigated. Hemodynamics was studied using PiCCO-plus device. Level of atrial natriuretic peptide (BNP) and standard clinical indices were measured as well. It is ascertained that condition of main factors impacting the cardiac output in postoperative period is subjected to rapid dynamic changes. The most critical period of decreased cardiac function is from 12 to 24 hours after the operation. Combination of indices reflecting left ventricular contractility (dPmax), cardiac function (CFI) and extravascular pulmonary water (ELWI) that has been measured in the period of maximal intension of compensatory mechanisms (12 hours after the operation) has the highest prognostic value.

Keywords:

congenital heart diseases

artificial circulation

pulmonary hypervolemia

hemodynamics

transpulmonary thermodilution

Authors:

Strunin O.V.

Novosibirskiĭ nauchno-issledovatel'skiĭ institut patologii krovoobrashcheniia im. akad. E.N. Meshalkina Minzdravsotsrazvitiia Rossii

Perevozchikova A.A.

Novosibirskiĭ nauchno-issledovatel'skiĭ institut patologii krovoobrashcheniia im. akad. E.N. Meshalkina Minzdravsotsrazvitiia Rossii

Lomivorotov V.V.

E.N.Meshalkin National Medical Research Center under the Ministry of Health of the Russia, Novosibirsk, 630055, Russia

ORCID: 0000-0001-8591-6461

Gorbatykh Iu.N.

Novosibirskiĭ nauchno-issledovatel'skiĭ institut patologii krovoobrashcheniia im. akad. E.N. Meshalkina Minzdravsotsrazvitiia Rossii

Prokhorov S.N.

Novosibirskiĭ nauchno-issledovatel'skiĭ institut patologii krovoobrashcheniia im. akad. E.N. Meshalkina Minzdravsotsrazvitiia Rossii

Kniaz'kova L.G.

NNIIPK im. akad. E.N. Meshalkina Minzdravsotsrazvitiia Rossii, Novosibirsk

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