| Perioperative Change of Atrial
Natriuretic Peptide and Brain Natriuretic Peptide in Relation
to the Surgery for Abdominal Aortic Aneurysm |
(Department of Cardiovascular Surgery, Kishiwada
Tokushukai Hospital, Kishiwada, Japan and Department of Thoracic
and Cardiovascular Surgery, Wakayama Medical University*, Wakayama,
Japan)
| Yoshiharu Nishimura* |
Shinichi Higashiue |
Toshifumi Mori |
| Masahiro Iwahashi |
Atsutoshi Hatada |
|
|
Perioperative changes of atrial
natriuretic peptide (ANP) and brain natriuretic peptide (BNP)
in surgically treated cases of abdominal aortic aneurysm (AAA)
were investigated. A retrospective review of 34 patients of AAA
who underwent operation was carried out. All patients received
cardiac catheterization before the AAA operation. ANP and BNP
were measured on the preoperative day, postoperative day (POD)
1 and POD2, respectively. Twenty-two cases were complicated by
ischemic heart disease (IHD). In all cases of AAA, ANP and BNP
increased significantly at POD1 and POD2. The levels of ANP and
BNP in the AAA with IHD group were significantly higher than
those in the AAA without IHD group at all points. These results
suggest that postoperative care for cardiac overload during the
AAA operation is especially needed for patients with IHD.
Jpn. J. Cardiovasc. Surg. 32: 333 -336 (2003) |
|
