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

摘要

Hemodynamic monitoring using a pulse counter Vigileo Flotrac cardiac output system in transapical off-pump minimally invasive mitral valve repair Havva Sayhan Kaplan sup1/sup, ümit Karadeniz sup2/sup, Burak Kaya sup2/sup, Ibrah?m KARA sup3/sup, Ali Fuat Erdem sup2/sup sup1/supYuzuncu yil University, Department of Anaesthesiology and Reanimation, Van, Turkey sup2/supSakarya University, Department of Anaesthesiology and Reanimation, Sakarya, Turkey sup3/supSakarya 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.