Clinical Physiology of Circulation

Chief Editor

Leo A. Bockeria, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, Director of Bakoulev National Medical Research Center for Cardiovascular Surgery

Intraoperative central hemodynamics measurement by thermodilution technique using a Swan–Ganz catheter in a patient with corrected transposition of the great arteries

Authors: Kodzokova Z.A., Lomakin M.V., Rybka M.M., Dibin D.A.

Company:
Bakoulev National Medical Research Center for Cardiovascular Surgery, Moscow, 121552, Russian Federation

E-mail: Сведения доступны для зарегистрированных пользователей.

DOI: https://doi.org/10.24022/1814-6910-2020-17-2-142-147

UDC: 616.12-007-053.1

Link: Clinical Physiology of Blood Circulaiton. 2020; 17 (2): 142-147

Quote as: Kodzokova Z.A., Lomakin M.V., Rybka M.M., Dibin D.A. Intraoperative central hemodynamics measurement by thermodilution technique using a Swan–Ganz catheter in a patient with corrected transposition of the great arteries. Clinical Physiology of Circulation. 2020; 17 (2): 142–7 (in Russ.). DOI: 10.24022/1814-6910-2020-17-2-142-147

Received / Accepted:  27.09.2019/05.02.2020

Full text:
Subscribe 🔒

Abstract

Hemodynamic study in patients with congenital heart disease helps to choose individual targeted therapy, that improves early postoperative period. Invasive research methods, for example, the calculation of central hemodynamic parameters by thermodilution technique, are the gold standard in patients with acquired heart valvular disease. However congenital heart defects have abnormal communications between heart chambers so this technique application is impossible and unreliable. This article presents a clinical case of an intraoperative central hemodynamics study after double arterial switching operation in a patient with corrected transposition of the great arteries. Intensive care tactics in the early postoperative period was based on calculated hemodynamic parameters. Comparison of invasive (Swan–Ganz catheters) and non-invasive methods (echocardiography) was performed.

References

  1. Бокерия Л.А. (ред.) Клинические рекомендации по ведению детей с врожденными пороками сердца. М.; 2014. [Bockeria L.A. (Ed.) Clinical guidelines for the management of children with congenital heart defects. Moscow; 2014 (in Russ.).]
  2.  Wallis G.A., Debich-Spicer D., Anderson R.H. Congenitally corrected transposition. Orph. J. Rare Dis. 2011; 6: 22. DOI: 10.1186/1750-1172-6-22
  3. Peterson R.J., Franch R.H., Fajman W.A., Jones R.H. Comparison of cardiac function in surgically corrected and congenitally corrected transposition of the great arteries. J. Thorac. Cardiovasc. Surg. 1988; 96 (2): 227–36. DOI: 10.1016/s0022-5223(19)35263-8
  4. Langley S., Winlaw D., Stumper O., Dhillon R., De Giovanni J., Wright J. et al. Midterm results after restoration of the morphologically left ventricle to the systemic circulation in patients with congenitally corrected transposition of the great arteries. J. Thorac. Cardiovasc. Surg. 2003; 125 (6): 1229–40. DOI: 10.1016/S0022-5223(02)73246-7
  5. Hraska V., Woods R.K. Anatomic repair of corrected transposition of the great arteries: the double switch. seminars in thoracic and cardiovascular surgery. Pediatr. Card. Surg. Ann. 2019; 22: 57–60. DOI: 10.1053/ j.pcsu.2019.02.003
  6. Moss A.J., Hutter A.M., Jr., Lipchik E.O., Gallagher R.E. Congenital corrected transposition of the great vessels without cardiac anomalies. Am. J. Med. 1969; 47 (6): 986–94. DOI: 10.1016/0002-9343(69)90212-5
  7. Heming N., Quesnel C., Chastrusse M., Ferrand E. Critically ill patients admitted in post-anaesthesia care units: a survey of current practices in France. BJA Br. J. Anaesth. 2014; 113 (2): 295–6. DOI: 10.1093/ bja/aeu243

About Authors

  • Zera A. Kodzokova, Clinical Resident Physician; orcid.org/0000-0003-3330-9971
  • Maksim V. Lomakin, Anesthesiologist-Intensivist; orcid.org/0000-0003-1019-6310
  • Mikhail M. Rybka, Dr. Med. Sc., Head of Department of Anesthesiology and Intensive Care; orcid.org/0000-0003-2663-2236
  • Denis A. Dibin, Anesthesiologist-Intensivist; orcid.org/0000-0003-1194-2688

 If you found mistakes, select text and press Alt+A