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Hemodynamic monitoring using a pulse counter Vigileo Flotrac cardiac output system in transapical off-pump minimally invasive mitral valve repair [Eastern J Med]
Eastern J Med. Ahead of Print: EJM-04557 | DOI: 10.5505/ejm.2020.04557  

Hemodynamic monitoring using a pulse counter Vigileo Flotrac cardiac output system in transapical off-pump minimally invasive mitral valve repair

Havva Sayhan Kaplan1, Ümit Karadeniz2, Burak Kaya2, Ibrahım KARA3, Ali Fuat Erdem2
1Yuzuncu yil University, Department of Anaesthesiology and Reanimation, Van, Turkey
2Sakarya University, Department of Anaesthesiology and Reanimation, Sakarya, Turkey
3Sakarya University, Department of Cardiovascular Surgery, Sakarya, Turkey

INTRODUCTION: The aim of this study was to present our anesthetic management and early hemodynamic recovery after transapical off-pump neochords implantation
METHODS: This study was enrolled at Sakarya University Educational Research Hospital between September 2016 and June 2017. The perioperative records of 13 patients who underwent mitral valve repair using the Neochord DS1000 system were analyzed. Hemodynamic measurements recorded with the Vigileo Flotrac invasive arterial cardiac output system were evaluated.
RESULTS: Thirteen patients were included in the study. Transfusions of a total of 2 U of erythrocytes and 11 U of plasma were performed. After Neochord implantation, the mean cardiac output increased at a statistically significant level according to the values measured after induction p = 0.003.
DISCUSSION AND CONCLUSION: Increased cardiac output measurement after placement of the neochordaes and elimination of insufficiency have emerged as indications of early hemodynamic recovery.

Keywords: mitral valve prolapse, chorda tendinea, cardiac output.




Corresponding Author: Havva Sayhan Kaplan, Türkiye


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