PLASMA ATRIAL-NATRIURETIC-PEPTIDE AFTER THE FONTAN PROCEDURE AND TOTAL CAVOPULMONARY CONNECTION

被引：9

作者：

BURCH, M ^{[1
]}

SHINEBOURNE, EA ^{[1
]}

RIGBY, ML ^{[1
]}

CARTER, N ^{[1
]}

JEFFERY, S ^{[1
]}

STANLEY, P ^{[1
]}

SMITH, A ^{[1
]}

机构：

[1] ST GEORGE HOSP,SCH MED,LONDON,ENGLAND

来源：

INTERNATIONAL JOURNAL OF CARDIOLOGY | 1990年 / 27卷 / 02期

关键词：

Atrial natriuretic peptide; Fontan procedure; Total cavopulmonary connexion;

D O I：

10.1016/0167-5273(90)90154-W

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Plasma artrial natriuretic peptide was measured in 10 children undergoing the Fontan procedure and 3 children undergoing total cavopulmonary connexion. There was no significant difference in pre-operative plasma levels, but post-operative levels were significantly higher 48 hours after cardiopulmonary bypass in the Fontan group. There was no significant difference in plasma arginine vasopressin levels either pre- or post-operatively. Post-operative pleural effusions occurred in only 2 of the 10 patients undergoing the Fontan procedure, but were present in all 3 of those undergoing total cavopulmonary connexion. The release of atrial natriuretic peptide is an appropriate homeostatic response to volume loading and the impairment of this response in the early post-operative period may be of clinical importance. © 1990.

引用

页码：161 / 165

页数：5

共 12 条

[1] ATRIAL NATRIURETIC PEPTIDE INHIBITS OSMOLALITY-INDUCED ARGININE VASOPRESSIN RELEASE IN MAN [J].