Right ventricular dysfunction, acute kidney injury
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: From August 2019 to the end of August 2020, we will continuously target patients who are scheduled to undergo the first open heart surgery under cardiopulmonary bypass or cardiac arrest at our facility.
Exclusion criteria
Exclusion criteria: Preoperative exclusion criteria 1) Moderate or severe tricuspid regurgitation / Right heart surgery 2) On beating surgery 3) Scheduled intraoperative assisted circulation use (VA-ECMO, IABP, LVAD) 4) Pacemaker 5) Chronic atrial fibrillation 6) Complication of left-right short-circuit disease 7) Abnormal regional wall motion 8) Contraindications for 3DE and PAC (pulmonary artery catheter) insertion Intraoperative exclusion criteria 1) Use of pacemaker due to sinus node syndrome, atrioventricular block during surgery, 2) Atrial fibrillation during surgery 3) Addition of tricuspid valve surgery, change to surgery on beating, off-pump surgery 4) Use of auxiliary circulation after withdrawal from the heart-lung machine 5) Cannot be monitored by three-dimensional transesophageal echocardiography or pulmonary artery catheter
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Serum creatinine values at preoperative and postoperative period | — |
Secondary
| Measure | Time frame |
|---|---|
| Cardiac catheterization, and echocardiographic right ventricular (RV) and left ventricular function parameters were measured simultaneously before and after CPB. | — |
Countries
Japan
Contacts
Tohoku University School of Medicine Department of Anesthesiology and Perioperative Medicine