Femoral Vein Pulsatility: What Does It Mean?
aortic dissection
cardiac surgery
perioperative echocardiography
pulsatile femoral vein
pulsatile portal vein
right ventricular dysfunction
Journal
Journal of cardiothoracic and vascular anesthesia
ISSN: 1532-8422
Titre abrégé: J Cardiothorac Vasc Anesth
Pays: United States
ID NLM: 9110208
Informations de publication
Date de publication:
Aug 2021
Aug 2021
Historique:
received:
24
02
2021
accepted:
15
03
2021
pubmed:
15
5
2021
medline:
23
7
2021
entrez:
14
5
2021
Statut:
ppublish
Résumé
In this report, the clinical evolution of a 72-year-old patient transferred to the surgical intensive care unit after cardiac surgery is described. The presence of a pulsatile Doppler signal of the common femoral vein was noted after surgery. On postoperative day 5, diuretics in addition to a combination of inhaled epoprostenol and milrinone were associated with normalization of femoral vein pulsatility. The observations seen in peripheral venous flow reinforce the hypothesis that pulsatility of the common femoral vein represents an associated echocardiographic sign of right ventricular dysfunction and may be used to monitor systemic venous congestion. Pulsatility in the venous system may be improved by reducing volume overload and improving right ventricular function.
Identifiants
pubmed: 33985881
pii: S1053-0770(21)00269-X
doi: 10.1053/j.jvca.2021.03.027
pii:
doi:
Substances chimiques
Milrinone
JU9YAX04C7
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
2521-2527Commentaires et corrections
Type : CommentIn
Informations de copyright
Copyright © 2021 Elsevier Inc. All rights reserved.