The Usefulness of Microcirculatory Assessment After Cardiac Surgery: Illustrative Case Report
The Usefulness of Microcirculatory Assessment After Cardiac Surgery: Illustrative Case Report
Data
2024
Autores
Fernandes, Marcos
Lorenzo, Andrea De
Tibiriçá, Eduardo
Journal Title
Journal ISSN
Volume Title
Publisher
Brazilian Journal of Cardiovascular Surgery
Resumo
Cardiac surgery causes a series of disturbances in human physiology. The correction
of systemic hemodynamic variables is frequently ineffective in improving
microcirculatory perfusion and delivering oxygen to the tissues. We present the
case of a 52-year-old male submitted to mitral valve replacement (metallic valve)
and subaortic membrane resection. Sublingual microcirculatory density and
perfusion were evaluated using a handheld CytoCam camera before surgery and in
the early postoperative period. In this case, systemic hemodynamic variables were
compromised despite an actual improvement in the microcirculatory parameters
in comparison to the preoperative evaluation, possibly due to the correction of the
structural cardiac defects.
Description
Palavras-chave
Microcirculation, Mitral Valve, Cardiac Surgical Procedures, Hemodynamics, Perfusion, Oxygen.
Citação
Fernandes M, Lorenzo A, Tibiriçá E. The Usefulness of Microcirculatory Assessment After Cardiac Surgery: Illustrative Case Report. Braz J Cardiovasc Surg. 2024 Sep 9;39(6):e20230383. doi: 10.21470/1678-9741-2023-0383.