Literature DB >> 15745296

Vasoplegic syndrome after off-pump coronary artery bypass surgery: an unusual complication.

Shahzad G Raja1, Gilles D Dreyfus.   

Abstract

We report the case of a 65-year-old man who developed norepinephrine-resistant vasoplegic syndrome after elective off-pump coronary artery bypass surgery (OPCAB). The failure of norepinephrine to improve the patient's hemodynamics prompted us to start treatment with vasopressin; within 30 minutes, the hemodynamics began to improve. After 12 hours, the patient was stable enough to be weaned from the vasopressin. He was discharged from the hospital on the 10th postoperative day. To our knowledge, ours is the 1st report of vasopressin use for vasodilatory shock after OPCAB in the English-language medical literature. Herein, we discuss the pathophysiology and management of vasoplegic syndrome--which is controversial--with special emphasis on the use of vasopressin in this situation.

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Year:  2004        PMID： 15745296      PMCID： PMC548246     

Source DB:  PubMed          Journal:  Tex Heart Inst J        ISSN： 0730-2347


  29 in total

1.  Refractory vasodilation after cardiopulmonary bypass for heart transplantation in recipients on combined amiodarone and angiotensin-converting enzyme inhibitor therapy: a role for vasopressin administration.

Authors:  B Mets; R E Michler; E D Delphin; M C Oz; D W Landry
Journal:  J Cardiothorac Vasc Anesth       Date:  1998-06       Impact factor: 2.628

2.  Arginine vasopressin inhibits interleukin-1 beta-stimulated nitric oxide and cyclic guanosine monophosphate production via the V1 receptor in cultured rat vascular smooth muscle cells.

Authors:  E Kusano; S Tian; T Umino; T Tetsuka; Y Ando; Y Asano
Journal:  J Hypertens       Date:  1997-06       Impact factor: 4.844

3.  Angiotensin-converting enzyme inhibitors increase vasoconstrictor requirements after cardiopulmonary bypass.

Authors:  K J Tuman; R J McCarthy; C J O'Connor; W E Holm; A D Ivankovich
Journal:  Anesth Analg       Date:  1995-03       Impact factor: 5.108

4.  Cytokines and nitric oxide synthase inhibitor as mediators of adrenergic refractoriness in cardiac myocytes.

Authors:  C V Oddis; M S Finkel
Journal:  Eur J Pharmacol       Date:  1997-02-12       Impact factor: 4.432

5.  Vasopressin deficiency contributes to the vasodilation of septic shock.

Authors:  D W Landry; H R Levin; E M Gallant; R C Ashton; S Seo; D D'Alessandro; M C Oz; J A Oliver
Journal:  Circulation       Date:  1997-03-04       Impact factor: 29.690

6.  Low-dose vasopressin in the treatment of vasodilatory septic shock.

Authors:  M B Malay; R C Ashton; D W Landry; R N Townsend
Journal:  J Trauma       Date:  1999-10

7.  Ketamine attenuates the interleukin-6 response after cardiopulmonary bypass.

Authors:  L Roytblat; D Talmor; M Rachinsky; L Greemberg; A Pekar; A Appelbaum; G M Gurman; Y Shapira; A Duvdenani
Journal:  Anesth Analg       Date:  1998-08       Impact factor: 5.108

8.  Vasoplegic syndrome after open heart surgery.

Authors:  W J Gomes; A C Carvalho; J H Palma; C A Teles; J N Branco; M G Silas; E Buffolo
Journal:  J Cardiovasc Surg (Torino)       Date:  1998-10       Impact factor: 1.888

9.  Management of vasodilatory shock after cardiac surgery: identification of predisposing factors and use of a novel pressor agent.

Authors:  M Argenziano; J M Chen; A F Choudhri; S Cullinane; E Garfein; A D Weinberg; C R Smith; E A Rose; D W Landry; M C Oz
Journal:  J Thorac Cardiovasc Surg       Date:  1998-12       Impact factor: 5.209

10.  Ventricular dysfunction in norepinephrine-induced cardiomyopathy.

Authors:  F M Powers; R Pifarre; J X Thomas
Journal:  Circ Shock       Date:  1994-07
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  3 in total

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Authors:  Bharat Datt; Lisa Hutchison; Charles Peniston
Journal:  J Extra Corpor Technol       Date:  2007-06

2.  Perioperative infusion of low- dose of vasopressin for prevention and management of vasodilatory vasoplegic syndrome in patients undergoing coronary artery bypass grafting-A double-blind randomized study.

Authors:  Georgios Papadopoulos; Eleni Sintou; Stavros Siminelakis; Efstratios Koletsis; Nikolaos G Baikoussis; Efstratios Apostolakis
Journal:  J Cardiothorac Surg       Date:  2010-03-28       Impact factor: 1.637

3.  Cardiac tamponade and para-aortic hematoma post elective surgical myocardial revascularization on a beating heart - a possible complication of the Lima-stitch and sequential venous anastomosis.

Authors:  Anna Marcinkiewicz; Ryszard Jaszewski; Katarzyna Piestrzeniewicz; Radosław Zwoliński
Journal:  BMC Cardiovasc Disord       Date:  2014-06-04       Impact factor: 2.298
  3 in total

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