| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
The Journal of Thoracic and Cardiovascular Surgery, Vol 73, 129-138, Copyright © 1977 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
H Laks, J Standeven, O Blair, J Hahn, M Jellinek and VL Willman
The effect of cardiopulmonary bypass (CPB) on myocardial extravascular
water (MEW) was evaluated with crystalloid and colloid hemodilution. Heart
water was measured gravimetrically and by the double-indicator and thermal
methods. CPB without hemodilution resulted in a 5.7 per cent increase in
the wet : dry weight ratio of the left ventricle obtained by desiccation to
stable weight. CPB with colloid hemodilution to a hematocrit of 10.7 +/-
0.4 per cent resulted in a 5.4 per cent increase in the wet:dry weight
ratio. Crystalloid hemodilution to a hematocrit of 9.5 +/- 0.8 per cent
resulted in a marked increase in myocardial water with a wet:dry weight
ratio 30.3 per cent greater than the controls. Hypothermic (22 degrees C.)
crystalloid hemodilution resulted in a 37.4 per cent increase in the
wet:dry weight ratio. MEW was also measured by the double-indicator method
with Evans blue dye and tritiated water. This method measured 85 per cent
of the gravimetrically measured water. Although it indicated the increase
in heart water in the crystalloid group, it proved less reliable in the
measurement of MEW in this dynamic situation. The thermal heart water was
also measured with an impedance and thermistor-bearing catheter similar to
that used to measure thermal lung water. This proved ineffective in
measuring heart water. Colloid hemodilution was thus found to prevent the
development of myocardial edema which occurred with crystalloid
hemodilution (p less than 0.01) with and without hypothermia. These
findings support the addition of colloid to the hemodilution prime used for
cardiopulmonary bypass.
ARTICLES
The effects of cardiopulmonary bypass with crystalloid and colloid hemodilution on myocardial extravascular water
This article has been cited by other articles:
|
|
 |
|
  R. M. Dongaonkar, R. H. Stewart, H. J. Geissler, and G. A. Laine Myocardial microvascular permeability, interstitial oedema, and compromised cardiac function Cardiovasc Res, July 15, 2010; 87(2): 331 - 339. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 D. A. Otsuki, D. T. Fantoni, C. B. Margarido, C. K. Marumo, T. Intelizano, C. A. Pasqualucci, and J. O. Costa Auler Jr Hydroxyethyl starch is superior to lactated Ringer as a replacement fluid in a pig model of acute normovolaemic haemodilution Br. J. Anaesth., January 1, 2007; 98(1): 29 - 37. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 U. Mehlhorn, H. J. Geissler, G. A. Laine, and S. J. Allen Myocardial fluid balance Eur J Cardiothorac Surg, December 1, 2001; 20(6): 1220 - 1230. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 D. L Zarro, D. A Palanzo, and T. G Phillips Albumin in the pump prime: its effect on postoperative weight gain Perfusion, March 1, 2001; 16(2): 129 - 135. [Abstract] [PDF]
|
|
|
|
 |
|
 D. A. Dean, M. M. Amirhamzeh, C.-X. Jia, S. E. Cabreriza, D. G. Rabkin, R. Sciacca, M. L. Dickstein, and H. M. Spotnitz REVERSAL OF IATROGENIC MYOCARDIAL EDEMA AND RELATED ABNORMALITIES OFDIASTOLIC PROPERTIES IN THE PIG LEFT VENTRICLE J. Thorac. Cardiovasc. Surg., May 1, 1998; 115(5): 1209 - 1214. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. T. Gurbuz, W. M. Novick, C. A. Pierce, and D. C. Watson Impact of Ultrafiltration on Blood Use for Atrial Septal Defect Closure in Infants and Children Ann. Thorac. Surg., April 1, 1998; 65(4): 1105 - 1109. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. J. Davies, K. Nguyen, J. W. Gaynor, M. J. Elliott, and M. R. de Leval Modified Ultrafiltration Improves Left Ventricular Systolic Function In Infants After Cardiopulmonary Bypass J. Thorac. Cardiovasc. Surg., February 1, 1998; 115(2): 361 - 370. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. M. R. Amirhamzeh, D. T. Hsu, S. E. Cabreriza, C.-X. Jia, and H. M. Spotnitz Myocardial Edema: Comparison of Effects on Filling Volume and Stiffness of the Left Ventricle in Rats and Pigs Ann. Thorac. Surg., May 1, 1997; 63(5): 1293 - 1297. [Abstract] [Full Text]
|
|
|
|
|
|
M. M. R. Amirhamzeh, D. A. Dean, C.-X. Jia, S. E. Cabreriza, J. P. Starr, M. J. Sardo, N. Chalik, M. L. Dickstein, and H. M. Spotnitz Iatrogenic Myocardial Edema: Increased Diastolic Compliance and Time Course of Resolution In Vivo Ann. Thorac. Surg., September 1, 1996; 62(3): 737 - 743. [Abstract] [Full Text]
|
|
|
|
|
|
J. Svennevig, S. Tollofsrud, U. Kongsgaard, H. Noddeland, B. Mohr, M. Ozer, and T. Mollnes Complement activation during and after open-heart surgery is only marginally affected by the choice of fluid for volume replacement Perfusion, January 1, 1996; 11(4): 326 - 332. [Abstract] [PDF]
|
|
|
|
|
|
D. Scott, P.J. Hore, J. Cannata, K. Mason, B. Treagus, and J. Mullaly A comparison of albumin, polygeline and crystalloid priming solutions for cardiopulmonary bypass in patients having coronary artery bypass graft surgery Perfusion, November 1, 1995; 10(6): 415 - 424. [Abstract] [PDF]
|
|
|
|
|
|
J. D. Walker, F. A. Crawford, and F. G. Spinale PRETREATMENT WITH 3,5,3' TRIIODO-L-THYRONINE (T3): Effects on myocyte contractile function after hypothermic cardioplegic arrest and rewarming J. Thorac. Cardiovasc. Surg., August 1, 1995; 110(2): 315 - 327. [Abstract] [Full Text]
|
|
|
|
|
|
R. B. Hird, F. A. Crawford Jr, R. Mukherjee, and F. G. Spinale Direct effects of thrombin on myocyte contractile function Ann. Thorac. Surg., February 1, 1995; 59(2): 288 - 293. [Abstract] [PDF]
|
|
|
|
|
|
J. A. M. van Son, H. Hovaguimian, I. M. Rao, G.-W. He, G. A. Meiling, D. H. King, and A. Starr Strategies for repair of congenital heart defects in infants without the use of blood Ann. Thorac. Surg., February 1, 1995; 59(2): 384 - 388. [Abstract] [PDF]
|
|
|
|
|
|
J. R. Handy, F. G. Spinale, R. Mukherjee, and F. A. Crawford Hypothermic potassium cardioplegia impairs myocyte recovery of contractility and inotropy J. Thorac. Cardiovasc. Surg., April 1, 1994; 107(4): 1050 - 1058. [Abstract] [Full Text]
|
|
|
|
|
|
J. W. Blatchford III, T. P. Barragry, T. J. Lillehei, and W. S. Ring Effects of cardioplegic arrest on left ventricular systolic and diastolic function of the intact neonatal heart J. Thorac. Cardiovasc. Surg., February 1, 1994; 107(2): 527 - 535. [Abstract] [Full Text]
|
|
|
|
|
|
M. J. Elliott Ultrafiltration and modified ultrafiltration in pediatric open heart operations Ann. Thorac. Surg., December 1, 1993; 56(6): 0003497593907443 - 3497593907443. [Abstract] [PDF]
|
|
|
|
|
|
S. Naik and M. Elliott Ultrafiltration and paediatric cardiopulmonary bypass Perfusion, January 1, 1993; 8(1): 101 - 112. [PDF]
|
|
|
|
|
|
L. Sandrelli, O. Alfieri II, and W. van Oeveren The problem of priming solutions? The solution of priming problems Perfusion, July 1, 1992; 7(3): 217 - 221. [PDF]
|
|
|
|
|
|
J. W. Jones, R. E. Rawitscher, T. R. McLean, A. C. Beall, and J. I. Thornby Benefit from combining blood conservation measures in cardiac operations Ann. Thorac. Surg., April 1, 1991; 51(4): 541 - 544. [Abstract] [PDF]
|
|
|
|
|
|
H. M. Rosenblum, G. B. Haasler, W. D. Spotnitz, H. L. Lazar, and H. M. Spotnitz Effects of Simulated Clinical Cardiopulmonary Bypass and Cardioplegia on Mass of the Canine Left Ventricle Ann. Thorac. Surg., February 1, 1985; 39(2): 139 - 148. [Abstract] [PDF]
|
|
|
|
|
|
J. K. Kirklin, W. A. Lell, and N. T. Kouchoukos Hydroxyethyl Starch versus Albumin for Colloid Infusion Following Cardiopulmonary Bypass in Patients Undergoing Myocardial Revascularization Ann. Thorac. Surg., January 1, 1984; 37(1): 40 - 46. [Abstract] [PDF]
|
|
|
|
|
|
H. Garrido, J. Sueiro, J. Rivas, J. Vilches, J. M. Romero, and F. Garrido Bioelectrical Tissue Resistance during Various Methods of Myocardial Preservation Ann. Thorac. Surg., August 1, 1983; 36(2): 143 - 151. [Abstract] [PDF]
|
|
|
|
|
|
J. R. Utley, W. Y. Moores, and D. B. Stephens Blood Conservation Techniques Ann. Thorac. Surg., May 1, 1981; 31(5): 482 - 490. [Abstract] [PDF]
|
|
|
|
|
|
J. R. Utley, C. Wachtel, R. B. Cain, E. A. Spaw, J. C. Collins, and D. B. Stephens Effects of Hypothermia, Hemodilution, and Pump Oxygenation on Organ Water Content, Blood Flow and Oxygen Delivery, and Renal Function Ann. Thorac. Surg., February 1, 1981; 31(2): 121 - 133. [Abstract] [PDF]
|
|
|
|
|
|
E. R. Rosenkranz, J. R. Utley, F. J. Menninger III, W. P. Dembitsky, A. R. Hargens, and R. M. Peters Interstitial Fluid Pressure Changes during Cardiopulmonary Bypass Ann. Thorac. Surg., December 1, 1980; 30(6): 536 - 542. [Abstract] [PDF]
|
|
|
|
|
|
H. B. Barner, J. W. Standeven, M. Jellinek, L. J. Menz, and J. W. Hahn Topical Cardiac Hypothermia: The Effect of Methylprednisolone Sodium Succinate Ann. Thorac. Surg., June 1, 1978; 25(6): 526 - 535. [Abstract] [PDF]
|
|
|
|
|
|
P. Hallowell, J. H. L. Bland, B. C. Dalton, A. J. Erdmann III, D. G. Lappas, M. B. Laver, D. Philbin, S. Thomas, and E. Lowenstein The Effect of Hemodilution with Albumin or Ringer's Lactate on Water Balance and Blood Use in Open-Heart Surgery Ann. Thorac. Surg., January 1, 1978; 25(1): 22 - 29. [Abstract] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
