Utilidad de isosorbide sublingual en la reversibilidad de la hipertensión pulmonar reactiva, en pacientes candidatos a trasplante cardíaco

R, Fernando Baraona; G, Pablo Castro; P, Osvaldo Pérez; Morán, Sergio; S, Ricardo Zalaquett; L, Manuel J Irarrázabal; M, Jorge Jalil

doi:10.4067/s0034-98872006000200010

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2008

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“…De cualquier modo, estos pacientes presentan un riesgo mayor de desarrollar insuficiencia cardiaca derecha prolongada, la que puede presentarse incluso luego de los primeros 30 días del postoperatorio. Por lo tanto, es recomendable ser más agresivo en el manejo perioperatorio de la RVP, usando vasodilatadores pulmonares específicos, como prostaglandinas, óxido nítrico, isorsorbide o sildenafil 6,16,17 .…”

Section: Caso Clínicounclassified

Asistencia ventricular derecha con bomba centrífuga

Pedemonte

Santander

et al. 2008

Rev. méd. Chile

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Acute right ventricular failure after cardiac surgery occurring in the first postoperative hours is associated with a bad prognosis. We have used a centrifugal pump either for left, right or biventricular assistance. However, the use of this device for pure right ventricular assistance is rare. We report a 30 year-old female undergoing a mitral valve replacement and a 42 year-old male undergoing a cardiac transplantation, who had a successful right ventricular assistance using a centrifugal pump, due to a failing right ventricle, as the result of insufficient myocardial protection and severe pulmonary hypertension. These two cases illustrate the value of the mechanical ventricular assist device for the treatment of right heart failure (Rev Méd Chile 2008; 136: 359-66). (

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Section: Caso Clínicounclassified

Asistencia ventricular derecha con bomba centrífuga

Pedemonte

Santander

et al. 2008

Rev. méd. Chile

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Utilidad de isosorbide sublingual en la reversibilidad de la hipertensión pulmonar reactiva, en pacientes candidatos a trasplante cardíaco

Cited by 1 publication

References 8 publications

Asistencia ventricular derecha con bomba centrífuga

Asistencia ventricular derecha con bomba centrífuga

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