Careful haemodynamic control and postoperative blood pressure management are crucial in adult aortic coarctation surgery due to significant noradrenaline surges.
Requires careful postoperative BP management in aortic coarctation surgery; leaves open whether noradrenaline modulation alters outcomes.
The complications following surgery for the correction of aortic coarctation are reviewed. The immediate postoperative increase in blood pressure is associated with a very high (750%) increase in plasma noradrenaline concentrations. The pre-operative management and preparation of the patient, the use of induced hypotension during surgery with careful haemodynamic control to prevent the hypoperfusion of the lower segment of the aorta, and the postoperative management with special reference to adequate control of blood pressure are discussed.
No takes yet. Share an insight, caveat, or question.
Fisher et al. (1977) studied this question.
Synapse has enriched 2 closely related papers on similar clinical questions. Consider them for comparative context: