Korean J Thorac Cardiovasc Surg.  2002 Mar;35(3):227-230.

Treatment of Vasodilatory Shock after Cardiac Surgery:Low Dose Arginine Vasopressin Therapy: Three cases report

• Lee KJ
• Kim HK
• Joung EK
• Kim DH
• Kang DY
• Lee ES

Abstract

The vasodilatory shock after cardiopulmonary bypass is defined as the condition involving severe and persistent form of hypotension, tachycardia, normal or increased cardiac output and decreased systemic vascular resistance. Because of the unsuccessful response to infusion of fluids or catecholamine vasopressors, a sustained systemic shock state occurs and results in a high morbidity and mortality. We successfully treated this syndrome of 3 patients after open heart surgery with low dose of arginine vasopressin(AVP). Therefore,we report these cases with a review of related articles.

Keyword

Vasodilation; Shock; Arginine; Vasopressin

MeSH Terms

Arginine Vasopressin*
Arginine*
Cardiac Output
Cardiopulmonary Bypass
Humans
Hypotension
Mortality
Shock*
Tachycardia
Thoracic Surgery
Vascular Resistance
Vasodilation
Vasopressins
Arginine
Arginine Vasopressin
Vasopressins