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Assistência circulatória ao coração direito através da contrapulsação pulmonar usando-se um método biológico / Right ventricular assistance through pulmonary artery counterpulsation using a biological method

Lacoste, Maximiliano Otero; Fernandes, José; Christen, Alejandra I; Chachques, Juan Carlos; Cabrera Fischer, Edmundo I.
Arq. bras. cardiol ; 65(5): 409-412, Nov. 1995. tab, ilus
Artículo en Portugués | LILACS | ID: lil-319332

PURPOSE:

To study the hemodynamic effects of latissimus dorsi dynamic pulmonaroplasty in open chest animals.

METHODS:

Six anesthetized mongrel dogs were subjected to diastolic counterpulsation using electrically stimulated latissimus dorsi muscle flap wrapped around the aortic and pulmonary arteries roots and gated to the surface electrocardiogram. Aortic and Pulmonanary pressures as well as cardiac output and cardiac index were measured.

RESULTS:

Diastolic counterpulsation resulted in a significant increase in cardiac output (from 2.35 +/- 0.26 to 2.45 +/- 0.28 l/min) (p < 0.005) and cardiac index (from 0.108 +/- 0.020 to 0.113 +/- 0.020 l/min/kg) (p < 0.05). The diastolic pulmonary arterial efficiency index showed a significant increase when latissimus dorsi stimulation was on (from 8.37 +/- 0.60 to 11.65 +/- 0.83 mmHg); (p < 0.005).

CONCLUSION:

Latissimus dorsi dynamic pulmonaroplasty provides an effective means of arterial counter pulsation in open chest dogs
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