Immediate Hemodynamic Effects of Pericardial Closure After Open-Heart Surgery
- 1 January 1987
- journal article
- research article
- Published by Taylor & Francis in Scandinavian Journal of Thoracic and Cardiovascular Surgery
- Vol. 21 (2) , 131-134
- https://doi.org/10.3109/14017438709106509
Abstract
Acute hemodynamic effects of a routine pericardial closure after cardiopulmonary bypass was studied in 29 patients undergoing cardiac surgery. Clinically, the pericardial closure was well tolerated. Pericardial closure resulted in an 8% decrease of cardiac output (p2±0.6 SD). The effect of the pericardium on pulmonary arterial and wedge pressures, and on systemic arterial pressure was not significant. Central venous pressure increased from 8±2 mmHg to 9±3 mmHg (pppp<0.01) after re-opening of the pericardiotomy incision. The hemodynamic effects of pericardial closure seem to result from limited ventricular filling.Keywords
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