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[Surgery of the aortic bifurcation and heart diseases: peroperative hemodynamics]
M Roullier1, Y Costes, F Guyot
1Service d'anesthésie-réanimation, Centre hospitalier et universitaire, Besançon.
Abstract:
During aorto-biiliac by-pass, patients with heart disease are exposed at many haemodynamic problems. Mixed venous oxygen saturation monitoring help anesthetist along clamping and unclamping periods. This study concerning 13 patients with pre-operative NYHA class II and III congestive heart disease, discusses therapeutic algorithm especially for choosing inotropic or vasodilatator drugs.