E-ISSN 2367-699X | ISSN 2367-7414
 
2026, Vol: 12, Issue: 1
12 / 1Current Issue Online FirstArchiveAims and ScopeAbstracting & IndexingMost Accessed ArticlesMost Downloaded ArticlesMost Cited Articles
Required files to be uploaded

Copyright Transfer Form

Case Report
Online Published: 27 Aug 2016
 


Persistent compromised hemodynamic function, due to single ventricular epicardial pacing, after aortic valve replacement surgery: A case report

Konstantinos Giakoumidakis, Christos Charitos.


Abstract
We report the case of a 69-year old woman, who was admitted to the cardiac surgery intensive care unit (ICU) of a tertiary hospital, after surgical aortic valve replacement, due to severe aortic stenosis. During the early postoperative period, the patient was hemodynamically stable and her cardiac rhythm was supported by temporary epicardial ventricular pacing. One hour after her ICU admission, the woman presented compromised hemodynamics, characterized by severe hypotension with poor response to aggressive inotropic, vasopressor and fluid therapy. After 15 minutes of her significant clinical worsening, the change of the pacing mode from single ventricular to single atrial effected immediate hemodynamic stabilization, improved arterial blood pressure and optimum patient cardiovascular function. This could be explained by the significantly reduced cardiac output in the absence of atrial contraction to assist ventricular preloading, which characterized some patients with impaired ventricular function, as those with severe aortic stenosis.

Key words: Aortic valve replacement, Aortic valve stenosis, Atrial pacing, Epicardial pacing, Postoperative care


 
ARTICLE TOOLS
Abstract
PDF Fulltext
How to cite this articleHow to cite this article
Citation Tools
Related Records
 Articles by Konstantinos Giakoumidakis
Articles by Christos Charitos
on Google
on Google Scholar


How to Cite this Article
Pubmed Style

Giakoumidakis K, Charitos C. Persistent compromised hemodynamic function, due to single ventricular epicardial pacing, after aortic valve replacement surgery: A case report. Int J Surg Med. 2017; 3(1): 52-54. doi:10.5455/ijsm.aortic-valve-replacement-surgery

Web Style

Giakoumidakis K, Charitos C. Persistent compromised hemodynamic function, due to single ventricular epicardial pacing, after aortic valve replacement surgery: A case report. https://www.ejos.org/?mno=238186 [Access: June 23, 2026]. doi:10.5455/ijsm.aortic-valve-replacement-surgery

AMA (American Medical Association) Style

Giakoumidakis K, Charitos C. Persistent compromised hemodynamic function, due to single ventricular epicardial pacing, after aortic valve replacement surgery: A case report. Int J Surg Med. 2017; 3(1): 52-54. doi:10.5455/ijsm.aortic-valve-replacement-surgery


Vancouver/ICMJE Style

Giakoumidakis K, Charitos C. Persistent compromised hemodynamic function, due to single ventricular epicardial pacing, after aortic valve replacement surgery: A case report. Int J Surg Med. (2017), [cited June 23, 2026]; 3(1): 52-54. doi:10.5455/ijsm.aortic-valve-replacement-surgery


Harvard Style

Giakoumidakis, K. & Charitos, . C. (2017) Persistent compromised hemodynamic function, due to single ventricular epicardial pacing, after aortic valve replacement surgery: A case report. Int J Surg Med, 3 (1), 52-54. doi:10.5455/ijsm.aortic-valve-replacement-surgery


Turabian Style

Giakoumidakis, Konstantinos, and Christos Charitos. 2017. Persistent compromised hemodynamic function, due to single ventricular epicardial pacing, after aortic valve replacement surgery: A case report. International Journal of Surgery and Medicine, 3 (1), 52-54. doi:10.5455/ijsm.aortic-valve-replacement-surgery


Chicago Style

Giakoumidakis, Konstantinos, and Christos Charitos. "Persistent compromised hemodynamic function, due to single ventricular epicardial pacing, after aortic valve replacement surgery: A case report." International Journal of Surgery and Medicine 3 (2017), 52-54. doi:10.5455/ijsm.aortic-valve-replacement-surgery


MLA (The Modern Language Association) Style

Giakoumidakis, Konstantinos, and Christos Charitos. "Persistent compromised hemodynamic function, due to single ventricular epicardial pacing, after aortic valve replacement surgery: A case report." International Journal of Surgery and Medicine 3.1 (2017), 52-54. Print. doi:10.5455/ijsm.aortic-valve-replacement-surgery


APA (American Psychological Association) Style

Giakoumidakis, K. & Charitos, . C. (2017) Persistent compromised hemodynamic function, due to single ventricular epicardial pacing, after aortic valve replacement surgery: A case report. International Journal of Surgery and Medicine, 3 (1), 52-54. doi:10.5455/ijsm.aortic-valve-replacement-surgery


Author LoginReviewer LoginAbout PublisherEditorial PoliciesEditorial Review PolicyPeer Review PolicyEditorial & Peer Review ProcessAuthor's Rights and ObligationsPublication Ethics and Publication Malpractice StatementConflict of Interest PolicyPlagiarism PolicyProtection of Research Participants (Statement On Human And Animal Rights)Privacy PolicyCorrections, Retractions & Expressions of ConcernSelf-Archiving PoliciesStatement of Informed ConsentAdvertising PolicyTerms of UseLicense InformationCopyright Information

About International Journal of Surgery and Medicine

International Journal of Surgery and Medicine E-ISSN: 2367-699X | P-ISSN: 2367-7414 International Journal of Surgery and Medicine (IJSM) is an inter ... Read more.



For best results, please use Internet Explorer or Google Chrome.

Contact Information


 

Any correspondence, queries or additional requests for information on the manuscript submission process should be sent to the International Journal of Surgery and Medicine editorial office as follows:

Bulgarian Association of Young Surgeons (BAYS)

inkov@journalmedica.com

Financial department is managed by International Sci Ink Press. 

It is a company registered in Bulgaria with registered no. 205414288 and registered address at 57 Antim I str., Vazrazhdane, Sofia, 1303, Bulgaria.

Tel: +359883427500