Right duct lymph during and after open-heart surgery.
The right lymphatic duct (RLD) was cannulated in 26 patients operated upon with open-heart surgery. The thoracic duct was cannulated in 4 additional patients and both the thoracic and the right lymphatic ducts were cannulated in 2 further patients. The RLD was also cannulated in a control group consisting of 5 thoractomy-operated patients. Lymph was collected continuously and its flow and content of albumin, electrolytes and the enzymes, GOT, GPT, CPK and LDH were analysed. A significant amount of cardiac lymph was present in about 60% of the cannulations. After cardiopulmonary bypass, lymph enzyme concentrations often rose rapidly to very high levels. The significance of the enzyme concentration-patterns and some characteristics of the flow pattern are discussed.
D000328:Adult; D000368:Aged; D000410:Alanine Transaminase / Q000378:metabolism; D000418:Albumins / Q000378:metabolism; D001219:Aspartate Aminotransferases / Q000378:metabolism; D002118:Calcium / Q000378:metabolism; D006348:Cardiac Surgical Procedures; D002315:Cardiopulmonary Bypass; D002712:Chlorides / Q000378:metabolism; D003402:Creatine Kinase / Q000378:metabolism; D005260:Female; D006801:Humans; D007770:L-Lactate Dehydrogenase / Q000378:metabolism; D008196:Lymph / Q000378:metabolism* / Q000502:physiology; D008208:Lymphatic System / Q000502:physiology*; D008297:Male; D008875:Middle Aged; D011188:Potassium / Q000378:metabolism; D012964:Sodium / Q000378:metabolism; D013997:Time Factors
D000418:Albumins; D002712:Chlorides; D012964:Sodium; D007770:L-Lactate Dehydrogenase; D001219:Aspartate Aminotransferases; D000410:Alanine Transaminase; D003402:Creatine Kinase; D011188:Potassium; D002118:Calcium