Preoperative optimization with levosimendan in heart failure patient undergoing thoracic surgery
Copyright © 2016 The Authors. Published by Elsevier Ltd.. All rights reserved..
INTRODUCTION: We present the case of a patient with dilatative cardiomyopathy waiting for heart transplantation with pleural effusion to be subjected to pleural biopsy, treated with preoperative infusion of levosimendan to improve heart performances.
PRESENTATION OF CASE: A 56-year-old man (BMI 22,49) with dilatative cardiomyopathy (EF 18%) presented right pleural effusion. The levosimendan treatment protocol consisted of 24h continuous infusion (0,1ug/kg/min), without bolus. The patient was under continuous hemodynamic monitoring prior, during and after levosimendan administration. The surgery for pleural biopsy was performed with uniportal Video Assisted Thoracoscopic approach (VATS).
DISCUSSION: A significant increase of Cardiac Index (CI) and Stroke Volume Index (SVI) were observed at 4h after infusion initiation and was sustained during the next 24h after the end of infusion. Levosimendan administration was safe.
CONCLUSION: In this case the prophylactic preoperative levosimendan administration is safe and effective in cardiac failure patient undergoing thoracic surgery, but prophylactic preoperative levosimendan treatment in these patients merits further study.
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2016 |
|---|---|
| Erschienen: |
2016 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:27 |
|---|---|
| Enthalten in: |
International journal of surgery case reports - 27(2016) vom: 23., Seite 1-4 |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Nespoli, Moana Rossella [VerfasserIn] |
|---|
| Links: |
|---|
| Themen: |
Heart failure patient |
|---|
| Anmerkungen: |
Date Revised 30.09.2020 published: Print-Electronic Citation Status PubMed-not-MEDLINE |
|---|
| doi: |
10.1016/j.ijscr.2016.08.003 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM263375765 |
|---|
| LEADER | 01000caa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM263375765 | ||
| 003 | DE-627 | ||
| 005 | 20231226193109.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 231224s2016 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1016/j.ijscr.2016.08.003 |2 doi | |
| 028 | 5 | 2 | |a pubmed24n0877.xml |
| 035 | |a (DE-627)NLM263375765 | ||
| 035 | |a (NLM)27518430 | ||
| 035 | |a (PII)S2210-2612(16)30298-X | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 100 | 1 | |a Nespoli, Moana Rossella |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Preoperative optimization with levosimendan in heart failure patient undergoing thoracic surgery |
| 264 | 1 | |c 2016 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Revised 30.09.2020 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status PubMed-not-MEDLINE | ||
| 520 | |a Copyright © 2016 The Authors. Published by Elsevier Ltd.. All rights reserved. | ||
| 520 | |a INTRODUCTION: We present the case of a patient with dilatative cardiomyopathy waiting for heart transplantation with pleural effusion to be subjected to pleural biopsy, treated with preoperative infusion of levosimendan to improve heart performances | ||
| 520 | |a PRESENTATION OF CASE: A 56-year-old man (BMI 22,49) with dilatative cardiomyopathy (EF 18%) presented right pleural effusion. The levosimendan treatment protocol consisted of 24h continuous infusion (0,1ug/kg/min), without bolus. The patient was under continuous hemodynamic monitoring prior, during and after levosimendan administration. The surgery for pleural biopsy was performed with uniportal Video Assisted Thoracoscopic approach (VATS) | ||
| 520 | |a DISCUSSION: A significant increase of Cardiac Index (CI) and Stroke Volume Index (SVI) were observed at 4h after infusion initiation and was sustained during the next 24h after the end of infusion. Levosimendan administration was safe | ||
| 520 | |a CONCLUSION: In this case the prophylactic preoperative levosimendan administration is safe and effective in cardiac failure patient undergoing thoracic surgery, but prophylactic preoperative levosimendan treatment in these patients merits further study | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Heart failure patient | |
| 650 | 4 | |a Levosimendan | |
| 650 | 4 | |a Preoperative optimization | |
| 650 | 4 | |a Thoracic surgery | |
| 700 | 1 | |a Rispoli, Marco |e verfasserin |4 aut | |
| 700 | 1 | |a Mattiacci, Dario Maria |e verfasserin |4 aut | |
| 700 | 1 | |a Esposito, Marianna |e verfasserin |4 aut | |
| 700 | 1 | |a Corcione, Antonio |e verfasserin |4 aut | |
| 700 | 1 | |a Curcio, Carlo |e verfasserin |4 aut | |
| 700 | 1 | |a Buono, Salvatore |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t International journal of surgery case reports |d 2012 |g 27(2016) vom: 23., Seite 1-4 |w (DE-627)NLM215724038 |x 2210-2612 |7 nnns |
| 773 | 1 | 8 | |g volume:27 |g year:2016 |g day:23 |g pages:1-4 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.1016/j.ijscr.2016.08.003 |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 27 |j 2016 |b 23 |h 1-4 | ||