J.Jpn. Surg. Soc.. 90(5): 695-704, 1989

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Original article

PORTAL AND HEPATIC CIRCULATION DURING CARDIO-PULMONARY BYPASS IN CHRONIC CONGESTIVE LIVER
ーAN EXPERIMENTAL STUDYー

Hemodynamic changes of portal and hepatic circulation in dogs with chronic congestive liver (CCL) have been studied with reference to cardio-pulmaonry (C-P) bypass. The CCL dogs were provided by means of cut of the chordae of tricuspid valve followed by breeding for 4 to 41 months. Five of CCL dogs and 100f control dogs were served for C-P bypass for 90 minutes. The measurements of portal venous pressure (PVP), wedged hepatic venous pressure (WHVP) and hepatic tissue blood flow (HBF) by hydrogen gas clearance method were made before and during C-P bypass. Results were as follows. 1. HBF of CCL dogs after laparotomy decreased significantly (p<0.001) in comparison of control dogs (31.7±14.4vs.62.7±23.3ml/min/100g). 2. During the C-P bypass, the rates of rise of PVP and WHVP in CCL dogs revealed a lesser prominency than those of control dogs. 3. No reduction of the HBF was seen during the C-P bypass in CCL dogs. These results lead the conclusion that the portal and hepatic circulation of CCL dogs poorly adapted to an unphysiological condition of C-P bypass. It is considered, however, that CCL itself is not a state of absolute contraindication for C-P bypass in open cardiac surgery.

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