E-ISSN 2367-699X | ISSN 2367-7414
 

Case Report

Online Publishing Date:
27 / 08 / 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

Konstantinos Giakoumidakis, Christos Charitos. 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

Konstantinos Giakoumidakis, Christos Charitos. 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: February 20, 2024]. doi:10.5455/ijsm.aortic-valve-replacement-surgery


AMA (American Medical Association) Style

Konstantinos Giakoumidakis, Christos Charitos. 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

Konstantinos Giakoumidakis, Christos Charitos. Persistent compromised hemodynamic function, due to single ventricular epicardial pacing, after aortic valve replacement surgery: A case report. Int J Surg Med. (2017), [cited February 20, 2024]; 3(1): 52-54. doi:10.5455/ijsm.aortic-valve-replacement-surgery



Harvard Style

Konstantinos Giakoumidakis, Christos Charitos (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

Konstantinos Giakoumidakis, 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

Konstantinos Giakoumidakis, 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

Konstantinos Giakoumidakis, 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

Konstantinos Giakoumidakis, 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