Open AccessImpact of afterload reduction strategies on regional tissue oxygenation after the Norwood procedure for hypoplastic left heart syndrome
Author(s) -
Jan Hinnerk Hansen,
Jana Schlangen,
Inga Voges,
Olaf Jung,
A Wegmann,
Jens Scheewe,
HansHeiner Kramer
Publication year - 2013
Publication title -
european journal of cardio-thoracic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.303
H-Index - 133
eISSN - 1873-734X
pISSN - 1010-7940
DOI - 10.1093/ejcts/ezt538
Subject(s) - norwood procedure , afterload , hypoplastic left heart syndrome , medicine , oxygenation , anesthesia , cardiology , cerebral blood flow , hemodynamics , heart disease
Low cerebral tissue oxygenation saturations have been observed by near-infrared spectroscopy (NIRS) after the Norwood procedure. Altered cerebral vascular resistance and pharmacological afterload reduction redirecting blood flow away from the cerebral circulation are possible mechanisms.
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