The 'jaundiced heart': A possible explanation for postoperative shock in obstructive jaundice

J. Green, R. Beyar, S. Sideman, D. Mordechovitz, O. S. Better

Research output: Contribution to journalArticlepeer-review

Abstract

Patients with obstructive jaundice are susceptible to postoperative shock and kidney failure. The cause of these potentially fatal complications has not been fully clarified. The present study was designed to assess the role of myocardial dysfunction in the hemodynamic disturbance of obstructive jaundice. We studied the effect of isolated cholemia on left ventricular performance in five conscious dogs before and 2 weeks after choledochocaval anastomosis by using measurements of systolic time intervals (STIs) and maximal dp/dt. Mean left ventricular ejection time (LVET) decreased after cholemia from 159 ± 2.8 msec to 139 ± 2.6 msec (p2 from 257 ± 12 msec to 235 ± 14 msec (p

Original languageEnglish (US)
Pages (from-to)14-20
Number of pages7
JournalSurgery
Volume100
Issue number1
StatePublished - 1986
Externally publishedYes

ASJC Scopus subject areas

  • Surgery

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