| Low-output is not the cause of death of neonatal piglets early after cardiopulmonary bypass. | |
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MedLine Citation:
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PMID: 23305588 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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The mortality rate of neonatal piglets after heart surgery is high. Searching for a possible explanation for the death of neonatal piglets early after cardiopulmonary bypass, we analyzed hemodynamic parameters regarding survival and non-survival. Initially, 10 neonatal piglets (younger than 7 days) were connected to cardiopulmonary bypass (CPB). The mean body weight was 2.98 ± 0.44 kg. Exposure of the heart was performed through a median sternotomy. After connection to the CPB, the piglets were cooled to 32°C core temperature before the ascending aorta was cross-clamped and the heart arrested (90 min). Thereafter, piglets were re-warmed to 37°C and separated from CPB. During follow-up, the piglets did not receive inotropic support or vasopressors. Piglets who survived at least 2 h after termination of CPB were included in the study for further data analysis (n = 9). Five piglets died 2.5 to 4.0 h (median: 3.5 h) after CPB; these piglets formed the non-survivors group. Four animals survived the complete follow-up of 6 h after CPB and formed the survivors group. Regarding contractility (dP/dt(max) , dP/dt(max) /P, and wall thickening) there were not statistically significant differences between the groups. Non-survivors showed prolonged decrease of mean arterial pressure of more than 20% of baseline values, corresponding with a value of below 30 mm Hg. In conclusion, the death of neonatal piglets early after cardiopulmonary bypass was not determined by low output. |
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Authors:
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Theodor Tirilomis; Marc Bensch; Lars Nolte; Katja Steinke; Friedrich A Schoendube |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Artificial organs Volume: 37 ISSN: 1525-1594 ISO Abbreviation: Artif Organs Publication Date: 2013 Jan |
Date Detail:
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Created Date: 2013-01-11 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7802778 Medline TA: Artif Organs Country: United States |
Other Details:
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Languages: eng Pagination: E62-6 Citation Subset: IM |
Copyright Information:
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© 2013, Copyright the Authors. Artificial Organs © 2013, International Center for Artificial Organs and Transplantation and Wiley Periodicals, Inc. |
Affiliation:
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Department of Thoracic, Cardiac, and Vascular Surgery, University of Goettingen, Goettingen, Germany. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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