Zusammenfassung
Die Bedeutung des rechten Ventrikels für die globale Herz-Kreislauf-Funktion wurde lange Zeit unterschätzt. In der Tat wurde von verschiedenen Autoren im Tierexperiment nachgewiesen, daß die Ausschaltung des rechten Ventrikels aus der venösen Rückstrombahn durch direkte Anastomose zwischen V. cava und Pulmonalarterie praktisch keine Auswirkungen auf die Herz-Kreislauf-Funktion hat [101. Aus diesen Versuchen und ihrer palliativen Anwendung bei komplizierten kongenitalen Herzvitien und in neuerer Zeit bei irreversibler Rechtsherzinsuffizienz wurde gefolgert, daß der rechte Ventrikel lediglich dazu diene, den venösen Rückfluß in die Lungengefäße weiterzuleiten.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
Literatur
Belenkie I, Dani R, Smith ER et al. (1989) Effects of volume loading during experimental acute pulmonary embolism. Circulation 80: 178–188
Bhatia SJS, Kirshenbaum JM, Shemin RJ et al. (1987) Time course of resolution of pulmonary hypertension and right ventricular remodeling after orthotopic cardiac transplantation. Circulation 76: 819–826
Brooks H, Kirk ES, Vokonas PS et al. (1971) Performance of the right ventricle under stress: relation to right coronary flow. J Clin Invest 50: 2176–2183
Brown KA, Ditchey RV (1988) Human right ventricular end-systolic pressure-volume relation defined by maximal elastance. Circulation 78: 81–91
Butler J (1990) The heart is not always in good hands. Chest 97: 453–460
Dhainaut J-F, Brunet F, Monsallicr JF (1987) Bedside evaluation of right ventricular performance using a rapid computerized thermodilution method. Crit Care Med 15: 148–152
Eichhorn EJ, Konstam MA, Weiland DS (1987) Differential effects of milrinone and dobutamine on right ventricular preload, afterload and systolic performance in congestive heart failure secondary to ischemic or idiopathic dilated cardiomyopathy. Am J Cardiol 60: 1329–1333
Ghignone M, Girling L, Prewitt RM (1984) Volume expansion vs. norepinephrine in treatment of a low cardiac output complicating an acute increase in right ventricular afterload in dogs. Anesthesiology 60: 132–135
Glantz DA, Misbach GA, Misbach A et al. (1978) The pericardium substantially affects the left ventricular diastolic pressure-volume relationship in the dog. Circ Res 42: 433–441
Haller JA, Adkins JC, Worthington M et al. (1966) Experimental studies on permanent bypass of the right heart. Surgery 59: 1128–1132
Jardin F, Farcot J-C, Boisante L et al. (1981) Influence of positive end-expiratory pressure on left ventricular performance. N Engl J Med 304: 387–392
Konstam MA, Cohen SR, Salem DN (1986) Effect of amrinone on right ventricular function: predominance of afterload reduction. Circulation 74: 359–366
Lopez-Sendon J, Coma-Canella I, Gamallo C (1987) Sensitivity and specificity of hemodynamic criteria in the diagnosis of acute right ventricular infarction. Circulation 64: 515–525
Molloy WD, Lee KY, Girling L et al. (1984) Treatment of shock in a canine-model of pulmonary embolism. Am Rev Respir Dis 130: 870–874
Priebe H-J (1989) Regional right ventricular dysfunction during vasodilator therapy. Anesthesiology 71: A523
Qvist J, Mygind T, Crottogini A et al. (1988) Cardiovascular adjustments to pulmonary vascular injury in dogs. Anesthesiology 68: 341–349
Radermacher P, Santak B, Wüst HJ (1990) Prostacyclin and right ventricular function in patients with pulmonary hypertension associated with ARDS. Intensive Care Med 16: 227–232
Santamore WP, Constantinescu M, Vinten-Johansen J et al. (1988) Alterations in left ventricular compliance due to changes in right ventricular volume, pressure and compliance. Cardiovasc Res 22: 768–776
Schulman DS, Biondi JW, Matthay RA et al. (1989) Differing responses in right and left ventricular filling, loading and volumes during positive end-expiratory pressure. Am J Cardiol 64: 772–777
Spinale FG, Smith AC, Carabello BA et al. (1990) Right ventricular function computed by thermodilution and ventriculography. J Thorac Cardiovasc Surg 99: 141–152
Vlahakes GJ, Turley K, Hoffman JI (1981) The pathophysiology of failure in acute right ventricular hypertension: hemodynamic and biochemical correlation. Circulation 63: 87–95
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1991 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Neidhart, P., Fuchs, T. (1991). Anästhesiologische und therapeutische Besonderheiten bei Rechtsherzinsuffizienz. In: Pasch, T., Schmid, E.R. (eds) Anästhesie und kardiovaskuläres System. Klinische Anästhesiologie und Intensivtherapie, vol 41. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-51139-4_9
Download citation
DOI: https://doi.org/10.1007/978-3-642-51139-4_9
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-54340-4
Online ISBN: 978-3-642-51139-4
eBook Packages: Springer Book Archive