The dicrotic pulse: A common, non-ominous finding after the ross operation

B. J. Barber, R. L. Donnerstein, Timothy W Secomb, Kristen M Pogreba-Brown, R. Steelman, M. S. Ellenby, I. Shen, R. M. Ungerleider

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

We noted a dicrotic pulse in several patients following a Ross operation. Although the etiology of this unique arterial waveform is not completely understood, it has been reported as a sign of low cardiac output and a poor prognosis. We reviewed preoperative echocardiograms and postoperative radial arterial pressure tracings in 33 patients who underwent a Ross procedure between 2000 and 2004. We found a dicrotic pulse to occur commonly (20/33; 61%) following a Ross operation. Moderate to severe preoperative aortic insufficiency was present in 19/20 patients (95%) in whom a dicrotic pulse was noted and in only 3/13 (23%) who did not exhibit a postoperative dicrotic pulse (p < 0.001). A dicrotic pulse was not associated with an increased use of vasoactive infusions or longer hospitalization following the Ross operation. The dicrotic pulse should be recognized as a common postoperative finding in Ross patients that does not herald a delayed postoperative convalescence. The mechanism for a dicrotic pulse in these patients is speculative but may result from changes in vascular compliance secondary to chronic aortic insufficiency.

Original languageEnglish (US)
Pages (from-to)247-249
Number of pages3
JournalPediatric Cardiology
Volume28
Issue number4
DOIs
StatePublished - Aug 2007

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Low Cardiac Output
Compliance
Blood Vessels
Arterial Pressure
Hospitalization

Keywords

  • Aortic insufficiency
  • Dicrotic pulse
  • Ross operation

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Pediatrics, Perinatology, and Child Health

Cite this

Barber, B. J., Donnerstein, R. L., Secomb, T. W., Pogreba-Brown, K. M., Steelman, R., Ellenby, M. S., ... Ungerleider, R. M. (2007). The dicrotic pulse: A common, non-ominous finding after the ross operation. Pediatric Cardiology, 28(4), 247-249. https://doi.org/10.1007/s00246-006-0005-4

The dicrotic pulse : A common, non-ominous finding after the ross operation. / Barber, B. J.; Donnerstein, R. L.; Secomb, Timothy W; Pogreba-Brown, Kristen M; Steelman, R.; Ellenby, M. S.; Shen, I.; Ungerleider, R. M.

In: Pediatric Cardiology, Vol. 28, No. 4, 08.2007, p. 247-249.

Research output: Contribution to journalArticle

Barber, BJ, Donnerstein, RL, Secomb, TW, Pogreba-Brown, KM, Steelman, R, Ellenby, MS, Shen, I & Ungerleider, RM 2007, 'The dicrotic pulse: A common, non-ominous finding after the ross operation', Pediatric Cardiology, vol. 28, no. 4, pp. 247-249. https://doi.org/10.1007/s00246-006-0005-4
Barber, B. J. ; Donnerstein, R. L. ; Secomb, Timothy W ; Pogreba-Brown, Kristen M ; Steelman, R. ; Ellenby, M. S. ; Shen, I. ; Ungerleider, R. M. / The dicrotic pulse : A common, non-ominous finding after the ross operation. In: Pediatric Cardiology. 2007 ; Vol. 28, No. 4. pp. 247-249.
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