Skip to main content
Erschienen in: Pediatric Cardiology 4/2008

01.07.2008 | Case Report

Serial Plasma BNP Levels in Assessing Inadequate Left Ventricular Decompression on ECMO

verfasst von: Christine B. Falkensammer, Jeffrey S. Heinle, Anthony C. Chang

Erschienen in: Pediatric Cardiology | Ausgabe 4/2008

Einloggen, um Zugang zu erhalten

Abstract

We describe a female infant with complex single ventricle physiology who had undergone median sternotomy for placement of a right-sided systemic-to-pulmonary artery shunt, division of a patent ductus arteriosus, and left pulmonary artery augmentation. Her early postoperative course was complicated by cardiac arrest requiring institution of extracorporeal membrane oxygenation (ECMO) support. The brain natriuretic peptide (BNP) levels acutely improved after left ventricular decompression by insertion of a left atrial cannula. In this setting BNP levels may be an indicator of left ventricular stretch and are potentially a useful index to monitor left ventricular distension.
Literatur
1.
Zurück zum Zitat Chang AC, McKenzie ED (2005) Mechanical cardiopulmonary support in children and young adults: extracorporeal membrane oxygenation, ventricular assist devices, and long-term support devices. Pediatr Cardiol 26:2–28PubMedCrossRef Chang AC, McKenzie ED (2005) Mechanical cardiopulmonary support in children and young adults: extracorporeal membrane oxygenation, ventricular assist devices, and long-term support devices. Pediatr Cardiol 26:2–28PubMedCrossRef
2.
Zurück zum Zitat Cowley CG, Bradley JD, Shaddy RE (2004) B-type natriuretic peptide levels in congenital heart disease. Pediatr Cardiol 25:336–340PubMedCrossRef Cowley CG, Bradley JD, Shaddy RE (2004) B-type natriuretic peptide levels in congenital heart disease. Pediatr Cardiol 25:336–340PubMedCrossRef
3.
Zurück zum Zitat del Nido PJ, Armitage JM, Fricker FJ, Shaver M, Cipriani L, Dayal G, Park SC, Siewers RD (1994) Extracorporeal membrane oxygenation support as a bridge to pediatric heart transplantation. Circulation 90:II66–II69PubMed del Nido PJ, Armitage JM, Fricker FJ, Shaver M, Cipriani L, Dayal G, Park SC, Siewers RD (1994) Extracorporeal membrane oxygenation support as a bridge to pediatric heart transplantation. Circulation 90:II66–II69PubMed
4.
Zurück zum Zitat Jefferies LJ, Chang AC (2005) The neurohormonal axis and biochemical markers of heart failure. Cardiol Young 15:333–344 PubMedCrossRef Jefferies LJ, Chang AC (2005) The neurohormonal axis and biochemical markers of heart failure. Cardiol Young 15:333–344 PubMedCrossRef
5.
Zurück zum Zitat Koch A, Singer H (2003) Normal values of B type natriuretic peptide in infants, children, and adolescents. Heart 89:875–878PubMedCrossRef Koch A, Singer H (2003) Normal values of B type natriuretic peptide in infants, children, and adolescents. Heart 89:875–878PubMedCrossRef
6.
Zurück zum Zitat Mir TS, Marohn S, Laer S, Eiselt M, Grollmus O, Weil J (2002) Plasma concentrations of N-terminal pro-brain natriuretic peptide in control children from the neonatal to adolescent period and in children with congestive heart failure. Pediatrics 110:e76PubMedCrossRef Mir TS, Marohn S, Laer S, Eiselt M, Grollmus O, Weil J (2002) Plasma concentrations of N-terminal pro-brain natriuretic peptide in control children from the neonatal to adolescent period and in children with congestive heart failure. Pediatrics 110:e76PubMedCrossRef
7.
Zurück zum Zitat Sanjeev S, Pettersen M, Lua J, Thomas R, Shankaran S, L’Ecuyer T (2005) Role of plasma B-type natriuretic peptide in screening for hemodynamically significant patent ductus arteriosus in preterm neonates. J Perianatol 25:709–713CrossRef Sanjeev S, Pettersen M, Lua J, Thomas R, Shankaran S, L’Ecuyer T (2005) Role of plasma B-type natriuretic peptide in screening for hemodynamically significant patent ductus arteriosus in preterm neonates. J Perianatol 25:709–713CrossRef
8.
Zurück zum Zitat Seib PM, Faulkner SC, Erickson CC, Van Devanter SH, Harrell JE, Fasules JW, Frazier EA, Morrow WR (1999) Blade and balloon atrial septostomy for left heart decompression in patients with severe ventricular dysfunction on extracorporeal membrane oxygenation. Catheter Cardiovasc Interv 46:179–186PubMedCrossRef Seib PM, Faulkner SC, Erickson CC, Van Devanter SH, Harrell JE, Fasules JW, Frazier EA, Morrow WR (1999) Blade and balloon atrial septostomy for left heart decompression in patients with severe ventricular dysfunction on extracorporeal membrane oxygenation. Catheter Cardiovasc Interv 46:179–186PubMedCrossRef
9.
Zurück zum Zitat Sodian R, Loebe M, Schmitt C, Potapov EV, Siniawski H, Mueller J, Hausmann H, Zurbruegg HR, Weng Y, Hetzer R (2001) Decreased plasma concentration of brain natriuretic peptide as a potential indicator of cardiac recovery in patients supported by mechanical circulatory assist system. J Am Coll Cardiol 38:1942–1949PubMedCrossRef Sodian R, Loebe M, Schmitt C, Potapov EV, Siniawski H, Mueller J, Hausmann H, Zurbruegg HR, Weng Y, Hetzer R (2001) Decreased plasma concentration of brain natriuretic peptide as a potential indicator of cardiac recovery in patients supported by mechanical circulatory assist system. J Am Coll Cardiol 38:1942–1949PubMedCrossRef
10.
Zurück zum Zitat Sudoh T, Kangawa K, Minamino N, Matsuo H (1988) A new natriuretic peptide in porcine brain. Nature 332:78–81PubMedCrossRef Sudoh T, Kangawa K, Minamino N, Matsuo H (1988) A new natriuretic peptide in porcine brain. Nature 332:78–81PubMedCrossRef
11.
Zurück zum Zitat Tan LH, Johnson BA, Mawad ME, Chang AC (2006) Neonate with vein of galen malformation and heart failure: serial changes in plasma B-type natriuretic peptide following endovascular embolization. Pediatr Cardiol 27:276–278PubMedCrossRef Tan LH, Johnson BA, Mawad ME, Chang AC (2006) Neonate with vein of galen malformation and heart failure: serial changes in plasma B-type natriuretic peptide following endovascular embolization. Pediatr Cardiol 27:276–278PubMedCrossRef
12.
Zurück zum Zitat Wahlander H, Westerlind A, Lindstedt G, Lundberg PA, Holmgren D (2003) Increased levels of brain and atrial natriuretic peptides after the first palliative operation, but not after a bidirectional Glenn anastomosis, in children with functionally univentricular hearts. Cardiol Young 13:268–274PubMed Wahlander H, Westerlind A, Lindstedt G, Lundberg PA, Holmgren D (2003) Increased levels of brain and atrial natriuretic peptides after the first palliative operation, but not after a bidirectional Glenn anastomosis, in children with functionally univentricular hearts. Cardiol Young 13:268–274PubMed
13.
Zurück zum Zitat Yoshimura N, Yamaguchi M, Oshima Y, Oka S, Ooraki Y, Hasegawa T, Shimazu C (2000) Suppression of the secretion of atrial and brain natriuretic peptide after total cavopulmonary connection. J Thorac Cardiovasc Surg 120:764–769PubMedCrossRef Yoshimura N, Yamaguchi M, Oshima Y, Oka S, Ooraki Y, Hasegawa T, Shimazu C (2000) Suppression of the secretion of atrial and brain natriuretic peptide after total cavopulmonary connection. J Thorac Cardiovasc Surg 120:764–769PubMedCrossRef
Metadaten
Titel
Serial Plasma BNP Levels in Assessing Inadequate Left Ventricular Decompression on ECMO
verfasst von
Christine B. Falkensammer
Jeffrey S. Heinle
Anthony C. Chang
Publikationsdatum
01.07.2008
Verlag
Springer-Verlag
Erschienen in
Pediatric Cardiology / Ausgabe 4/2008
Print ISSN: 0172-0643
Elektronische ISSN: 1432-1971
DOI
https://doi.org/10.1007/s00246-008-9222-3

Weitere Artikel der Ausgabe 4/2008

Pediatric Cardiology 4/2008 Zur Ausgabe

Update Kardiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.