Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
7
pubmed:dateCreated
2003-8-12
pubmed:abstractText
We experienced intra-operative management of a patient with post-myocarditis cardiomyopathy who underwent simultaneous biventricular assist device (BiVAD) placement. Although the BiVAD is considered to replace biventricular pump function, significant discrepancy between the flow of the right ventricular assist device (RVAD) and the left ventricular assist device (LVAD) caused difficulty in post-bypass circulatory management in our case. We administered a vasodilator to decrease pulmonary vascular resistance (PVR) and regurgitant fraction of RVAD flow into right ventricle. Inhaled nitric oxide may provide a favorable decrease of PVR. With BiVAD, comprehensive management including the optimization of systemic blood volume, systemic vascular resistance, PVR and native heart function is essential. Transesophageal echocardiography is useful in intraoperative diagnosis and a guide for decision-making in circulatory management.
pubmed:language
jpn
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Jul
pubmed:issn
0021-4892
pubmed:author
pubmed:issnType
Print
pubmed:volume
52
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
780-2
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed:year
2003
pubmed:articleTitle
[Intraoperative management of simultaneous biventricular assist device placement in a patient with post-myocarditis dilated cardiomyopathy].
pubmed:affiliation
Department of Anesthesiology, Tokyo Women's Medical University, Tokyo 162-8666.
pubmed:publicationType
Journal Article, English Abstract, Case Reports