ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Paul F. Gründeman
Cornelius Borst
Erik W.L. Jansen
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Gründeman, P. F.
Right arrow Articles by Jansen, E. W.L.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Gründeman, P. F.
Right arrow Articles by Jansen, E. W.L.

Ann Thorac Surg 1998;65:1348-1352
© 1998 The Society of Thoracic Surgeons

Vertical Displacement of the Beating Heart by the Octopus Tissue Stabilizer: Influence on Coronary Flow

Paul F. Gründeman, MD, PhDa, Cornelius Borst, MD, PhDa, Joost A. van Herwaarden, MDa, Cees W.J. Verlaana, Erik W.L. Jansen, MD, PhDa

a Department of Cardiology, Heart Lung Institute, Utrecht University Hospital, Utrecht, the Netherlands

Accepted for publication December 27, 1997.

Address reprint requests to Dr Gründeman, Experimental Cardiology Laboratory, Heart Lung Institute, Utrecht University Hospital (Rm G02.523), PO Box 85500, 3508 GA Utrecht, the Netherlands
e-mail: (exp.cardio{at}hli.azu.nl)

Background. In beating heart coronary artery bypass graft operations, biventricular pump failure, as observed after exposure of the posterior circumflex branches by sternotomy, may originate from mechanical obstruction to coronary flow.

Methods. Regional coronary blood flow was measured in 8 anesthetized, paced, ß-blocked pigs, and the beating heart was fully retracted.

Results. Displacement decreased cardiac output from 4.8 ± 1.1 L/min (mean ± standard deviation) to 2.8 ± 1.2 L/min (p < 0.001), a 42% ± 6% decrease that resulted in a decrease in mean arterial pressure by 48% ± 6% (mean ± standard error of the mean; p < 0.001) and a reduction in coronary blood flow in the left anterior descending coronary artery, the right coronary artery, and the circumflex coronary artery by 34% ± 6%, 25% ± 8%, and 50% ± 10%, respectively (all p < 0.05 versus baseline). Relative circumflex coronary artery flow was 20.1% ± 8.3% lower than the combined relative value of left anterior descending coronary artery and right coronary artery flows (p = 0.046). Subsequent 20 degrees head-down tilt significantly increased ventricular preload pressures and restored cardiac output and mean arterial pressure as well as coronary blood flow.

Conclusions. It is inferred that coronary blood flow was not mechanically obstructed during anterior displacement of the porcine beating heart, because augmentation of preloads by the maneuver of Trendelenburg restored coronary flow parallel to the recovery of cardiac output and mean arterial pressure while the heart remained retracted by 90 degrees.




This article has been cited by other articles:


Home page
 Card Surg AdultHome page
T. M. Dewey and M. J. Mack
Myocardial Revascularization without Cardiopulmonary Bypass
Card. Surg. Adult, January 1, 2008; 3(2008): 633 - 654.
[Full Text]

Home page
 MMCTSHome page
J. DeSimone and P. Sergeant
Off-pump myocardial revascularization
MMCTS, October 9, 2006; 2006(1009): 539.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
Y. Koshida, G. Watanabe, T. Yasuda, S. Tomita, S. Kadoya, and T. Kanamori
Portable Coronary Active Perfusion System for Off-Pump Coronary Artery Bypass Grafting
Ann. Thorac. Surg., February 1, 2006; 81(2): 706 - 710.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
Y. Ootaki, K. Kamohara, M. Akiyama, F. Zahr, M. W. Kopcak Jr., R. Dessoffy, and K. Fukamachi
Phasic coronary blood flow pattern during a continuous flow left ventricular assist support
Eur. J. Cardiothorac. Surg., November 1, 2005; 28(5): 711 - 716.
[Abstract] [Full Text] [PDF]

Home page
 Canadian J. AnesthesiaHome page
S. Collins, F. Girard, D. Boudreault, P. Chouinard, L. Normandin, P. Couture, M.-J. Caron, and M. Ruel
Esophageal Doppler and thermodilution are not interchangeable for determination of cardiac output: [Le Doppler oesophagien et la thermodilution ne sont pas interchangeables pour preciser le debit cardiaque]
Can J Anesth, November 1, 2005; 52(9): 978 - 985.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
W.-I. Chang, K.-B. Kim, J. H. Kim, B. M. Ham, and Y. L. Kim
Hemodynamic Changes During Posterior Vessel Off-Pump Coronary Artery Bypass: Comparison Between Deep Pericardial Sutures and Vacuum-Assisted Apical Suction Device
Ann. Thorac. Surg., December 1, 2004; 78(6): 2057 - 2062.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
P. F. Grundeman, C. W. J. Verlaan, W. J. van Boven, and C. Borst
Ninety-degree anterior cardiac displacement in off-pump coronary artery bypass grafting: the Starfish cardiac positioner preserves stroke volume and arterial pressure
Ann. Thorac. Surg., August 1, 2004; 78(2): 679 - 684.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
H. K. Shinn, Y. J. Oh, S. H. Kim, J. H. Lee, C. S. Lee, and Y. L. Kwak
Evaluation of serial haemodynamic changes during coronary artery anastomoses in patients undergoing off-pump coronary artery bypass graft surgery: initial experiences using two deep pericardial stay sutures and octopus tissue stabilizer
Eur. J. Cardiothorac. Surg., June 1, 2004; 25(6): 978 - 984.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
Y.L. Kwak, Y.J. Oh, S.M. Jung, K.J. Yoo, J.H. Lee, and Y.W. Hong
Change in right ventricular function during off-pump coronary artery bypass graft surgery
Eur. J. Cardiothorac. Surg., April 1, 2004; 25(4): 572 - 577.
[Abstract] [Full Text] [PDF]

Home page
 CirculationHome page
S. Verma, P. W.M. Fedak, R. D. Weisel, P. E. Szmitko, M. V. Badiwala, D. Bonneau, D. Latter, L. Errett, and Y. LeClerc
Off-Pump Coronary Artery Bypass Surgery: Fundamentals for the Clinical Cardiologist
Circulation, March 16, 2004; 109(10): 1206 - 1211.
[Full Text] [PDF]

Home page
 Br J AnaesthHome page
P.-G. Chassot, P. van der Linden, M. Zaugg, X. M. Mueller, and D. R. Spahn
Off-pump coronary artery bypass surgery: physiology and anaesthetic management{dagger}
Br. J. Anaesth., March 1, 2004; 92(3): 400 - 413.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
C. Decoene, T. Modine, S. Al-Ruzzeh, T. Athanasiou, D. Fawzi, R. Azzaoui, A. Pol, and G. Fayad
Analysis of thoracic aortic blood flow during off-pump coronary artery bypass surgery
Eur. J. Cardiothorac. Surg., January 1, 2004; 25(1): 26 - 34.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
J.-H. Kim, B. M. Ham, Y. L. Kim, J.-H. Bahk, H.-G. Ryu, Y.-S. Jeon, and K.-B. Kim
Prophylactic milrinone during OPCAB of posterior vessels: implication in angina patients taking {beta}-blockers
Eur. J. Cardiothorac. Surg., November 1, 2003; 24(5): 770 - 776.
[Abstract] [Full Text] [PDF]

Home page
 CirculationHome page
P. F. Grundeman, R. Budde, H. M. Beck, W.-J. van Boven, and C. Borst
Endoscopic Exposure and Stabilization of Posterior and Inferior Branches Using the Endo-Starfish Cardiac Positioner and the Endo-Octopus Stabilizer for Closed-Chest Beating Heart Multivessel CABG: Hemodynamic Changes in the Pig
Circulation, September 9, 2003; 108(90101): II-34 - 38.
[Abstract] [Full Text] [PDF]

Home page
 Asian Cardiovasc. Thorac. Ann.Home page
B. Perek, M. Jemielity, J. Tomczyk, E. Camacho, and W. Dyszkiewicz
Deep Pericardial Stitch Enables Hemodynamically Stable Exposure of Beating Heart
Asian Cardiovasc Thorac Ann, September 1, 2003; 11(3): 203 - 207.
[Abstract] [Full Text]

Home page
 Asian Cardiovasc. Thorac. Ann.Home page
T. Velissaris, R. G Stuklis, D. A Hett, and S. K Ohri
Right Pleuropericardial Release: a Useful Technique in Off-Pump Coronary Surgery
Asian Cardiovasc Thorac Ann, June 1, 2003; 11(2): 174 - 176.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
W. A. Cooper, J. S. Corvera, V. H. Thourani, J. D. Puskas, J. M. Craver, O. M. Lattouf, and R. A. Guyton
Perfusion-assisted direct coronary artery bypass provides early reperfusion of ischemic myocardium and facilitates complete revascularization
Ann. Thorac. Surg., April 1, 2003; 75(4): 1132 - 1139.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
J. C. Hart
Maintaining hemodynamic stability and myocardial performance during off-pump coronary bypass surgery
Ann. Thorac. Surg., February 1, 2003; 75(2): S740 - 744.
[Abstract] [Full Text] [PDF]

Home page
 Card Surg AdultHome page
T. M. Dewey and M. J. Mack
Myocardial Revascularization Without Cardiopulmonary Bypass
Card. Surg. Adult, January 1, 2003; 2(2003): 609 - 625.
[Full Text]

Home page
 Ann. Thorac. Surg.Home page
L. Torracca, J. J. Schreuder, A. Quarti, G. Ismeno, V. Franze, and O. Alfieri
Acute effects of beating heart coronary surgery on left ventricular performance
Ann. Thorac. Surg., October 1, 2002; 74(4): S1348 - 1352.
[Abstract] [Full Text] [PDF]

Home page
 Canadian J. AnesthesiaHome page
P. Couture, A. Denault, P. Limoges, P. Sheridan, D. Babin, and R. Cartier
Mechanisms of hemodynamic changes during off-pump coronary artery bypass surgery: [Les mecanismes de changements hemodynamiques pendant le pontage aortocoronarien a coeur battant]
Can J Anesth, October 1, 2002; 49(8): 835 - 849.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
X. M. Mueller, P.-G. Chassot, J. Zhou, K. M. Eisa, C. Chappuis, H. T. Tevaearai, and L. K. von Segesser
Hemodynamics optimization during off-pump coronary artery bypass: the 'no compression' technique
Eur. J. Cardiothorac. Surg., August 1, 2002; 22(2): 249 - 254.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
Q.-B. Do, C. Goyer, O. Chavanon, P. Couture, A. Denault, and R. Cartier
Hemodynamic changes during off-pump CABG surgery
Eur. J. Cardiothorac. Surg., March 1, 2002; 21(3): 385 - 390.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
S. Muraki, C. D. Morris, J. M. Budde, R. N. Otto, Z.-Q. Zhao, J. D. Puskas, R. A. Guyton, and J. Vinten-Johansen
Preserved myocardial blood flow and oxygen supply-demand balance with active coronary perfusion during simulated off-pump coronary artery bypass grafting
J. Thorac. Cardiovasc. Surg., January 1, 2002; 123(1): 53 - 62.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
P. F. Grundeman, C. Borst, C. W.J. Verlaan, S. Damen, and S. Mertens
Hemodynamic changes with right lateral decubitus body positioning in the tilted porcine heart
Ann. Thorac. Surg., December 1, 2001; 72(6): 1991 - 1996.
[Abstract] [Full Text] [PDF]

Home page
 SEMIN CARDIOTHORAC VASC ANESTHHome page
M. Capdeville and J. H. Lee
Off-Pump Coronary Artery Bypass Surgery: Revival of an Old Technique
Seminars in Cardiothoracic and Vascular Anesthesia, November 1, 2001; 5(4): 345 - 361.
[Abstract] [PDF]

Home page
 Ann. Thorac. Surg.Home page
K.-B. Kim, C. Lim, H. Ahn, and J.-K. Yang
Intraaortic balloon pump therapy facilitates posterior vessel off-pump coronary artery bypass grafting in high-risk patients
Ann. Thorac. Surg., June 1, 2001; 71(6): 1964 - 1968.
[Abstract] [Full Text] [PDF]

Home page
 Canadian J. AnesthesiaHome page
J. Ramsay
Current status of off-pump coronary surgery (OPCAB)
Can J Anesth, June 1, 2001; 48(90001): R11 - 11.
[Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
J. M. Craver and C. P. Murrah
Elective intraaortic balloon counterpulsation for high-risk off-pump coronary artery bypass operations
Ann. Thorac. Surg., April 1, 2001; 71(4): 1220 - 1223.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
A. L. Dekker, G. G. Geskes, A. A. Cramers, W. R. Dassen, J. G. Maessen, K. B. Prenger, and F. H. van der Veen
Right ventricular support for off-pump coronary artery bypass grafting studied with bi-ventricular pressure-volume loops in sheep
Eur. J. Cardiothorac. Surg., February 1, 2001; 19(2): 179 - 184.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
M. P.R. Watters, R. Ascione, I. G. Ryder, F. Ciulli, A. A. Pitsis, and G. D. Angelini
Haemodynamic changes during beating heart coronary surgery with the 'Bristol Technique'
Eur. J. Cardiothorac. Surg., January 1, 2001; 19(1): 34 - 40.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
M. Mathison, J. R. Edgerton, J. L. Horswell, J. J. Akin, and M. J. Mack
Analysis of hemodynamic changes during beating heart surgical procedures
Ann. Thorac. Surg., October 1, 2000; 70(4): 1355 - 1360.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
S. C. Stamou, A. S. Bafi, S. W. Boyce, A. J. Pfister, M. K.C. Dullum, P. C. Hill, S. Zaki, J. M. Garcia, and P. J. Corso
Coronary revascularization of the circumflex
Ann. Thorac. Surg., October 1, 2000; 70(4): 1371 - 1377.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
K. V. Arom, T. F. Flavin, R. W. Emery, V. R. Kshettry, R. J. Petersen, and P. A. Janey
Is low ejection fraction safe for off-pump coronary bypass operation?
Ann. Thorac. Surg., September 1, 2000; 70(3): 1021 - 1025.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
A. P. Nierich, J. Diephuis, E. W.L. Jansen, C. Borst, and J. T.A. Knape
Heart displacement during off-pump CABG: how well is it tolerated?
Ann. Thorac. Surg., August 1, 2000; 70(2): 466 - 472.
[Abstract] [Full Text] [PDF]

Home page
 SEMIN CARDIOTHORAC VASC ANESTHHome page
R. Cartier
From Idea to Operating Room: Surgical Innovation, Clinical Application, and Outcome
Seminars in Cardiothoracic and Vascular Anesthesia, July 1, 2000; 4(2): 103 - 109.
[PDF]

Home page
 Ann. Thorac. Surg.Home page
E. Porat, R. Sharony, S. Ivry, S. Ozaki, B. P. Meyns, W. J. Flameng, and G. Uretzky
Hemodynamic changes and right heart support during vertical displacement of the beating heart
Ann. Thorac. Surg., April 1, 2000; 69(4): 1188 - 1191.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
B. M. Matata, A. W. Sosnowski, and M. Galinanes
Off-pump bypass graft operation significantly reduces oxidative stress and inflammation
Ann. Thorac. Surg., March 1, 2000; 69(3): 785 - 791.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
R. Cartier, S. Brann, F. Dagenais, R. Martineau, and A. Couturier
SYSTEMATIC OFF-PUMP CORONARY ARTERY REVASCULARIZATION IN MULTIVESSEL DISEASE: EXPERIENCE OF THREE HUNDRED CASES
J. Thorac. Cardiovasc. Surg., February 1, 2000; 119(2): 221 - 229.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
O. Godje, C. Thiel, P. Lamm, H. Reichenspurner, C. Schmitz, A. Schutz, and B. Reichart
Less invasive, continuous hemodynamic monitoring during minimally invasive coronary surgery
Ann. Thorac. Surg., October 1, 1999; 68(4): 1532 - 1536.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
P. F. Grundeman, C. Borst, C. W. J. Verlaan, H. Meijburg, C. M. Moues, and E. W. L. Jansen
EXPOSURE OF CIRCUMFLEX BRANCHES IN THE TILTED, BEATING PORCINE HEART: ECHOCARDIOGRAPHIC EVIDENCE OF RIGHT VENTRICULAR DEFORMATION AND THE EFFECT OF RIGHT OR LEFT HEART BYPASS
J. Thorac. Cardiovasc. Surg., August 1, 1999; 118(2): 316 - 323.
[Abstract] [Full Text] [PDF]

Home page
 HeartHome page
T W Koh, G S Carr-White, A C DeSouza, F D Ferdinand, J R Pepper, and D G Gibson
Effect of coronary occlusion on left ventricular function with and without collateral supply during beating heart coronary artery surgery
Heart, March 1, 1999; 81(3): 285 - 291.
[Abstract] [Full Text]

Home page
 PerfusionHome page
P. F Grundeman
Vertical displacement of the beating heart by the Utrecht Octopus Tissue Stabilizer: effects on haemodynamics and coronary flow
Perfusion, July 1, 1998; 13(4): 229 - 230.
[PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 1998 by The Society of Thoracic Surgeons.