[Peroperative ultrafiltration in complete repair of ventricular septal defect in infants].
Ventricular septal defect in infants induces peroperative fluid overload (particularly extravascular lung water overload) which causes some morbidity after surgical closure of the defect. Thirty infants undergoing the conventional complete correction procedure were retrospectively compared with 32 infants operated upon using ultrafiltration at the end of the cardiopulmonary bypass. There was no difference between the two groups in biological data, haemodynamic parameters and either morbidity or mortality. Nevertheless, a clinical impression of smooth follow-up in patients with ultrafiltration encourages to carry out a prospective and randomized study.
Neidecker
J
J
Département d'Anesthésie-Réanimation, Hôpital cardiovasculaire et pneumologique Louis Pradel, Lyon.
Ninet
J
J
Lambolez
D
D
Estanove
S
S
Gressier
M
M
Brule
P
P
Champsaur
G
G
D005112:Extracorporeal Circulation; D015633:Extravascular Lung Water; D005260:Female; D006345:Heart Septal Defects, Ventricular / Q000150:complications / Q000601:surgery*; D006439:Hemodynamics; D006440:Hemofiltration; D006801:Humans; D007223:Infant; D007430:Intraoperative Care; D008297:Male; D011184:Postoperative Period; D014883:Water-Electrolyte Imbalance / Q000209:etiology
Ultrafiltration peropératoire lors de la correction complète de communication interventriculaire du nourrisson.