Vasoplegic syndrome in patients undergoing heart transplantation.

heart transplant onset time risk factor treatment vasoplegic syndrome

Journal

Frontiers in surgery
ISSN: 2296-875X
Titre abrégé: Front Surg
Pays: Switzerland
ID NLM: 101645127

Informations de publication

Date de publication:
2023
Historique:
received: 02 12 2022
accepted: 11 01 2023
entrez: 2 3 2023
pubmed: 3 3 2023
medline: 3 3 2023
Statut: epublish

Résumé

To summarize the risk factors, onset time, and treatment of vasoplegic syndrome in patients undergoing heart transplantation. The PubMed, OVID, CNKI, VIP, and WANFANG databases were searched using the terms "vasoplegic syndrome," "vasoplegia," "vasodilatory shock," and "heart transplant*," to identify eligible studies. Data on patient characteristics, vasoplegic syndrome manifestation, perioperative management, and clinical outcomes were extracted and analyzed. Nine studies enrolling 12 patients (aged from 7 to 69 years) were included. Nine (75%) patients had nonischemic cardiomyopathy, and three (25%) patients had ischemic cardiomyopathy. The onset time of vasoplegic syndrome varied from intraoperatively to 2 weeks postoperatively. Nine (75%) patients developed various complications. All patients were insensitive to vasoactive agents. Vasoplegic syndrome can occur at any time during the perioperative period of heart tranplantation, especially after the discontinuation of bypass. Methylene blue, angiotensin II, ascorbic acid, and hydroxocobalamin have been used to treat refractory vasoplegic syndrome.

Identifiants

pubmed: 36860952
doi: 10.3389/fsurg.2023.1114438
pmc: PMC9968842
doi:

Types de publication

Journal Article

Langues

eng

Pagination

1114438

Informations de copyright

© 2023 Qin, Yao and the Evidence in Cardiovascular Anesthesia(EICA) Group.

Déclaration de conflit d'intérêts

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

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Auteurs

Tong-Xin Qin (TX)

Department of Anesthesiology, Shanxian Central Hospital, Heze, China.

Yun-Tai Yao (YT)

Department of Anesthesiology, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, China.

Classifications MeSH