Kertsman V P
Kardiologiia. 1979 Apr;19(4):57-61.
Autovenous aortocoronary shunt was performed in 136 patients and resection of aneurysm of the heart in 38 patients. The immediate postoperative period was studied scrupulously in 48 patients. A significant reduction of cardiac output is observed in the first 24 hours after operation for aortocoronary shunt, which is linked with the patients' severe condition before operation, the operative trauma, completeness of revascularization, and the size of the blood flow in the shunt. Study of correlations between the most important indices of hemodynamics showed that the mean pressure in the left atrium and the diastolic pressure in the pulmonary artery may reflect the functional condition of the left ventricle in the immediate postoperative period with high significance.
136例患者接受了自体静脉主动脉冠状动脉分流术，38例患者接受了心脏动脉瘤切除术。对48例患者术后早期进行了严格研究。在主动脉冠状动脉分流术后的头24小时内观察到心输出量显著降低，这与患者术前的严重病情、手术创伤、血管重建的完整性以及分流中的血流量大小有关。对血流动力学最重要指标之间的相关性研究表明，左心房平均压力和肺动脉舒张压在术后早期可高度显著地反映左心室的功能状态。
