[Value of dobutamine in children surgically treated for portal hypertension. Apropos of 23 cases].
In children undergoing mesenterico-caval or distal spleno-renal shunting for extrahepatic portal hypertension, dobutamin (3-5 micrograms.kg-1.min-1 for 24 hr postoperatively) prevents right ventricle dysfunction and pulmonary hypertension resulting from suddenly increased blood return to the heart by the inferior vena cava, thus improving cardiac output and myocardial contractility. Twelve 1-15 yr children benefitted from this inotropic therapy without any adverse side effect.
Trifonova
N A
NA
Ismail-Zade
I A
IA
Michelson
V A
VA
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D004280:Dobutamine / Q000627:therapeutic use*; D006439:Hemodynamics; D006801:Humans; D006975:Hypertension, Portal / Q000209:etiology / Q000601:surgery*; D006976:Hypertension, Pulmonary / Q000517:prevention & control; D007223:Infant; D011170:Portasystemic Shunt, Surgical; D016278:Ventricular Function, Right
D004280:Dobutamine
Intérêt de la dobutamine chez l'enfant opéré d'hypertension portale. A propos de 23 cas.