2015
Non-invasive cardiac output monitoring for cesarean delivery under epidural anesthesia in a patient with Marfan syndrome and cardiomyopathy
Beaudry S, Pick J, Heerdt P. Non-invasive cardiac output monitoring for cesarean delivery under epidural anesthesia in a patient with Marfan syndrome and cardiomyopathy. International Journal Of Obstetric Anesthesia 2015, 25: 82-85. PMID: 26718697, DOI: 10.1016/j.ijoa.2015.11.003.Peer-Reviewed Original ResearchConceptsNon-invasive cardiac output monitoringCardiac outputCardiac output monitoringCesarean deliveryStroke volumeEpidural anesthesiaBaseline valuesMarfan syndromeLeft ventricular ejection fractionOutput monitoringUse of phenylephrineEnd of surgeryIntravascular volume depletionMaternal cardiac outputMitral valve replacementSystemic blood pressureAdequate surgical anesthesiaClose hemodynamic monitoringVentricular ejection fractionAcute blood lossAcute volume overloadStroke volume increaseValve replacementBlood lossBlood pressure
2009
Case report: paradoxical ventricular septal motion in the setting of primary right ventricular myocardial failure
Maslow A, Schwartz C, Mahmood F, Singh A, Heerdt PM. Case report: paradoxical ventricular septal motion in the setting of primary right ventricular myocardial failure. Journal Canadien D'anesthésie 2009, 56: 510-517. PMID: 19475470, DOI: 10.1007/s12630-009-9108-8.Peer-Reviewed Original ResearchConceptsRV myocardial tissueRV ejectionSystemic hypotensionSeptal motionParadoxical ventricular septal motionMyocardial tissueRV fractional areaVentricular septal motionEnd-organ dysfunctionRight heart failureRight ventricular failureMitral valve replacementVentricular systolic functionEarly postoperative periodSystemic organ failureSystemic organ functionSystolic septal motionMultiple inotropesVasopressor administrationVentricular failureEchocardiographic evaluationHemodynamic instabilityInotropic medicationsPostoperative periodSystolic function