medigraphic.com

2008, Number 3

<< Back Next >>

Rev Mex Anest 2008; 31 (3)

Management of transoperative cardiac failure. Report of a case of Taussig-Bing syndrome repaired by arterial switch. Emphasis on using levosimendan in pediatric patients and splacnic surveillance

Tamariz-Cruz O, Palacios-Macedo A, Bouchan-Ramírez Y, Motta-Amézquita LG, Barrera-Fuentes M

Language: Spanish
References: 13
Page: 206-214
PDF size: 100.15 Kb.


ABSTRACT

Congenital heart disease surgery has importantly evolved in the last decades, among other reasons, due to new pharmacological elements for the management of post extracorporeal by pass low cardiac output syndrome and to new non invasive monitoring devices for cerebral and splanchnic perfusion, which promote better conditions for good outcomes in this set of patients. We report the case of an 8 year old male patient with the following diagnosis: double outlet right ventricle with subpulmonary ventricular septal defect (Taussig–Bing), previous pulmonary artery bandage done at the first year of life, and pseudo-coarctation of the aortic arch, that underwent total correction by arterial switch. We focus on the use of levosimendan, a new inodilator drug, and the monitoring of cerebral and splanchnic perfusion using near-infrared spectroscopy.


REFERENCES

  1. McKensie ED, Andropoulos D, DiBardino D, Frazier CD. Congenital Heart Surgery 2005: The Brain: It’s the heart of the matter. Am J Surg 2005;190:289–294.

  2. Matcher SJ, Kirkpatrick P, Nahid K, Cope M, Delpy DT. Absolute quantification methods in tissue near infrared spectroscopy. SPIE 1995;2389:489–495.

  3. Tamariz-Cruz O, Montoya SA. Cambios en la rSO2 obtenidos por oximetría cerebral no invasiva en cirugía laparoscópica. Anest Mex 1996;8:S279.

  4. Montoya SA, Tamariz-Cruz O. Saturación cerebral regional de oxígeno en pacientes adultos sometidos a hipotermia moderada y paro circulatorio. Anest Mex 1996;8:S268.

  5. Tamariz-Cruz O, Jáuregui-Flores LA, González R. Splanchnic oxygenation: continuous hepatic oxygen saturation determination during sepsis. Anest Mex 1996;8:208–13.

  6. Tamariz-Cruz O. Liver Oxygenation in cirrhotic patients. Surgery 1998;124:943–944.

  7. Teller J, Wolk M, Keel M et al. Can near infrared spectroscopy of the liver monitor liver oxygenation? Eur J Paediatr 2000;159:549–554.

  8. Gheorghiade M, Mebasaa A. The Challenge of Acute Heart Failure Syndromes. Am J Cardiol 2005;96:86–89.

  9. Lohse MJ, Engelhardt S, Eschenhagen B. What is the role of beta adrenergic signaling in heart failure? Cir Res 2003;93: 893–906.

  10. Huang L, Weil MH, Tang W, et al. Comparison between dobutamine and levosimendan for management of postresuscitation myocardial dysfunction. Crit Care Med 2005;33: 487–491.

  11. Navachlvayam P, Crossland DS, Butt W, Shekerdemian LS. Early experience with levosimendan in children with ventricular dysfunction. Pediatr Crit Care Med 2006;7:445–447.

  12. Turanlathi M, Boldt T, Palkama T, Antila S, et al. Phamacokinets of Levosimendan in pediatric patients evaluated for cardiac surgery. Pediatr Crit Care Med 2004;5:457–462.

  13. Schwarte L, Picker O, Bornstein S, et al. Levosimendan is superior to milrinone and dobutamine in selectively increasing microvascular gastric mucosal oxygenation in dogs. Crit Care Med 2005;33:135–142.




2020     |     www.medigraphic.com