Vasoplegic syndrome after off-pump coronary artery bypass surgery

Objective: the vasoplegic syndrome (VS) has been implicated in life-threatening complications after open heart surgery, where the whole-body inflammatory reaction is attributed to the cardiopulmonary bypass (CPB). Off-pump coronary artery bypass grafting (OPCAB) has been recently achieving growing e...

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Detalles Bibliográficos
Autores: Gomes, Walter José [UNIFESP], Erlichman, Manes R. [UNIFESP], Batista, Mario L., Knobel, Marcos, Almeida, Dirceu Rodrigues de [UNIFESP], Carvalho, Antonio Carlos [UNIFESP], Catani, Roberto [UNIFESP], Buffolo, Enio [UNIFESP]
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2003
País:Brasil
Institución:Universidade Federal de São Paulo (UNIFESP)
Repositorio:Repositório Institucional da UNIFESP
Idioma:inglés
OAI Identifier:oai:repositorio.unifesp.br:11600/27120
Acceso en línea:https://dx.doi.org/10.1016/S1010-7940(02)00734-0
https://repositorio.unifesp.br/handle/11600/27120
Access Level:acceso abierto
Palabra clave:Heart surgery
Coronary artery bypass surgery
Vasoplegia
Systemic inflammatory response syndrome
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spelling Vasoplegic syndrome after off-pump coronary artery bypass surgeryHeart surgeryCoronary artery bypass surgeryVasoplegiaSystemic inflammatory response syndromeObjective: the vasoplegic syndrome (VS) has been implicated in life-threatening complications after open heart surgery, where the whole-body inflammatory reaction is attributed to the cardiopulmonary bypass (CPB). Off-pump coronary artery bypass grafting (OPCAB) has been recently achieving growing enthusiasm mainly due avoiding the side effects of CPB. However herein the occurrence of VS in OPCAB is reported. Methods: the vasoplegic syndrome usual findings occurring in the early postoperative period include severe hypotension, tachycardia, normal or elevated cardiac output and low systemic vascular resistance. Four patients underwent to OPCAB presented all the signs of VS intraoperatively or within the first 6 postoperative h. Results: the patients needed aggressive vasoactive drug support for hemodynamic stabilization and all of them developed complications. These patients also had tendency to require administration of blood and blood derivatives due to diffuse and oozing type bleeding. Mean intensive care unit stay of surviving patients was 70 h and mean period of postoperative hospitalization was 9 days. Tumor necrosis factor-ot blood levels in one patient were elevated postoperatively though no signs of infection were observed. One patient died. Conclusions: Although vasoplegic syndrome can complicate OPCAB surgery, the rationale for avoiding CPB remains valid considering the benefits provided by OPCAB. (C) 2002 Elsevier Science B.V. All fights reserved.Universidade Federal de São Paulo, Escola Paulista Med, Cardiovasc Surg Discipline, BR-04023900 São Paulo, BrazilUniversidade Federal de São Paulo, São Paulo Hosp, BR-04023900 São Paulo, BrazilUniversidade Federal de São Paulo, Escola Paulista Med, Cardiovasc Surg Discipline, BR-04023900 São Paulo, BrazilUniversidade Federal de São Paulo, São Paulo Hosp, BR-04023900 São Paulo, BrazilWeb of ScienceElsevier B.V.Universidade Federal de São Paulo (UNIFESP)2016-01-24T12:33:41Z2016-01-24T12:33:41Z2003-02-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion165-169https://dx.doi.org/10.1016/S1010-7940(02)00734-0European Journal of Cardio-thoracic Surgery. Amsterdam: Elsevier B.V., v. 23, n. 2, p. 165-169, 2003.10.1016/S1010-7940(02)00734-01010-7940https://repositorio.unifesp.br/handle/11600/27120WOS:000180995200007ark:/48912/001300001w0wfengEuropean Journal of Cardio-thoracic Surgeryinfo:eu-repo/semantics/openAccesshttp://www.elsevier.com/about/open-access/open-access-policies/article-posting-policyreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESPGomes, Walter José [UNIFESP]Erlichman, Manes R. [UNIFESP]Batista, Mario L.Knobel, MarcosAlmeida, Dirceu Rodrigues de [UNIFESP]Carvalho, Antonio Carlos [UNIFESP]Catani, Roberto [UNIFESP]Buffolo, Enio [UNIFESP]2023-04-12T21:13:56Zoai:repositorio.unifesp.br:11600/27120Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652023-04-12T21:13:56Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false
dc.title.none.fl_str_mv Vasoplegic syndrome after off-pump coronary artery bypass surgery
title Vasoplegic syndrome after off-pump coronary artery bypass surgery
spellingShingle Vasoplegic syndrome after off-pump coronary artery bypass surgery
Gomes, Walter José [UNIFESP]
Heart surgery
Coronary artery bypass surgery
Vasoplegia
Systemic inflammatory response syndrome
title_short Vasoplegic syndrome after off-pump coronary artery bypass surgery
title_full Vasoplegic syndrome after off-pump coronary artery bypass surgery
title_fullStr Vasoplegic syndrome after off-pump coronary artery bypass surgery
title_full_unstemmed Vasoplegic syndrome after off-pump coronary artery bypass surgery
title_sort Vasoplegic syndrome after off-pump coronary artery bypass surgery
dc.creator.none.fl_str_mv Gomes, Walter José [UNIFESP]
Erlichman, Manes R. [UNIFESP]
Batista, Mario L.
Knobel, Marcos
Almeida, Dirceu Rodrigues de [UNIFESP]
Carvalho, Antonio Carlos [UNIFESP]
Catani, Roberto [UNIFESP]
Buffolo, Enio [UNIFESP]
author Gomes, Walter José [UNIFESP]
author_facet Gomes, Walter José [UNIFESP]
Erlichman, Manes R. [UNIFESP]
Batista, Mario L.
Knobel, Marcos
Almeida, Dirceu Rodrigues de [UNIFESP]
Carvalho, Antonio Carlos [UNIFESP]
Catani, Roberto [UNIFESP]
Buffolo, Enio [UNIFESP]
author_role author
author2 Erlichman, Manes R. [UNIFESP]
Batista, Mario L.
Knobel, Marcos
Almeida, Dirceu Rodrigues de [UNIFESP]
Carvalho, Antonio Carlos [UNIFESP]
Catani, Roberto [UNIFESP]
Buffolo, Enio [UNIFESP]
author2_role author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Universidade Federal de São Paulo (UNIFESP)
dc.subject.por.fl_str_mv Heart surgery
Coronary artery bypass surgery
Vasoplegia
Systemic inflammatory response syndrome
topic Heart surgery
Coronary artery bypass surgery
Vasoplegia
Systemic inflammatory response syndrome
description Objective: the vasoplegic syndrome (VS) has been implicated in life-threatening complications after open heart surgery, where the whole-body inflammatory reaction is attributed to the cardiopulmonary bypass (CPB). Off-pump coronary artery bypass grafting (OPCAB) has been recently achieving growing enthusiasm mainly due avoiding the side effects of CPB. However herein the occurrence of VS in OPCAB is reported. Methods: the vasoplegic syndrome usual findings occurring in the early postoperative period include severe hypotension, tachycardia, normal or elevated cardiac output and low systemic vascular resistance. Four patients underwent to OPCAB presented all the signs of VS intraoperatively or within the first 6 postoperative h. Results: the patients needed aggressive vasoactive drug support for hemodynamic stabilization and all of them developed complications. These patients also had tendency to require administration of blood and blood derivatives due to diffuse and oozing type bleeding. Mean intensive care unit stay of surviving patients was 70 h and mean period of postoperative hospitalization was 9 days. Tumor necrosis factor-ot blood levels in one patient were elevated postoperatively though no signs of infection were observed. One patient died. Conclusions: Although vasoplegic syndrome can complicate OPCAB surgery, the rationale for avoiding CPB remains valid considering the benefits provided by OPCAB. (C) 2002 Elsevier Science B.V. All fights reserved.
publishDate 2003
dc.date.none.fl_str_mv 2003-02-01
2016-01-24T12:33:41Z
2016-01-24T12:33:41Z
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://dx.doi.org/10.1016/S1010-7940(02)00734-0
European Journal of Cardio-thoracic Surgery. Amsterdam: Elsevier B.V., v. 23, n. 2, p. 165-169, 2003.
10.1016/S1010-7940(02)00734-0
1010-7940
https://repositorio.unifesp.br/handle/11600/27120
WOS:000180995200007
dc.identifier.dark.fl_str_mv ark:/48912/001300001w0wf
url https://dx.doi.org/10.1016/S1010-7940(02)00734-0
https://repositorio.unifesp.br/handle/11600/27120
identifier_str_mv European Journal of Cardio-thoracic Surgery. Amsterdam: Elsevier B.V., v. 23, n. 2, p. 165-169, 2003.
10.1016/S1010-7940(02)00734-0
1010-7940
WOS:000180995200007
ark:/48912/001300001w0wf
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv European Journal of Cardio-thoracic Surgery
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
http://www.elsevier.com/about/open-access/open-access-policies/article-posting-policy
eu_rights_str_mv openAccess
rights_invalid_str_mv http://www.elsevier.com/about/open-access/open-access-policies/article-posting-policy
dc.format.none.fl_str_mv 165-169
dc.publisher.none.fl_str_mv Elsevier B.V.
publisher.none.fl_str_mv Elsevier B.V.
dc.source.none.fl_str_mv reponame:Repositório Institucional da UNIFESP
instname:Universidade Federal de São Paulo (UNIFESP)
instacron:UNIFESP
instname_str Universidade Federal de São Paulo (UNIFESP)
instacron_str UNIFESP
institution UNIFESP
reponame_str Repositório Institucional da UNIFESP
collection Repositório Institucional da UNIFESP
repository.name.fl_str_mv Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)
repository.mail.fl_str_mv biblioteca.csp@unifesp.br
_version_ 1853670501628510208
score 15.301603

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