Surgery: Current Research

ISSN - 2161-1076


Myocardial Dysfunction after Esophageal Surgery

Manuel Ruiz-Bailén *,Jesús Cobo-Molinos

Objective: Evaluate the presence of acute myocardial dysfunction after esophageal surgery. Methodology: All esophageal surgery patients admitted to intensive care unit (ICU) from January 2008 to December 2014 were included. The follow-up was up to the third month. We were included a control group with healthy people. Cardiac stress cardiomyopathy complicating Esophagectomy were evaluated by bedside echocardiography. Also off-line examinations were realized by a hybrid speckle tracking. Results: 48 patients were included with 64.65 ± 13.22 years old; 30 (62.5%) were male. Mean ICU length of stay was 32.27 ± 18.33 days and ICU mortality was 31.25%. Cumulative mortality during follow-up was 41.67%. Mechanical ventilation time was 21.39 ± 14.29 days; cTnI peak was 1.98 ± 0.85 ng/mL BNP peak was 378.33 ± 103.01 pg/μgm mean peak QTc was 474.72 ± 104.25 ms. APACHE 2 were 21.53 ± 11.88 points. Strain and train rate showed segmental and global contractility alterations in all patients. However these changes were only detected in 21 patients using 2D echocardiography. The findings observed by 2-3D echocardiography were normalized in the first week but strain and strain rate were normalized during the third month. Conclusion: A stress cardiomyopathy may occur after esophageal surgery.