Pre- and postoperative systemic hemodynamic evaluation in patients subjected to esophagogastric devascularization plus splenectomy and distal splenorenal shunt: A comparative study in schistomomal portal hypertension

Table 3 Pre- and postoperative hemodynamic parameters in patients with portal hypertension due to hepatosplenic mansonic schistosomiasis

	Preop	EGDS	DSRS	Normal values
HR	80.2 ± 11.4	83.1 ± 10.6	86.7 ± 17.9	80-100 beats/min
MABP	91.4 ± 12.5	93.6 ± 14.4	92.36 ± 13.75	80-100 mmHg
RAP	7.9 ± 2.5	7 ± 2.4	7.26 ± 2.4	0-7 mmHg
PCWP	10.2 ± 2.7	9.1 ± 3	9.55 ± 2	8-12 mmHg
PAP	18 ± 5.1	12.65 ± 4.7d	19.84 ± 5.2	12-15 mmHg
CI	4.78 ± 1.13	3.8 ± 0.4d	5.2 ± 0.76	2.5-4 L/min per m2
SI	60.24 ± 12.8	46.2 ± 8.6d	59.64 ± 10.5	41-51 mL/beat per m2
SVRI	1457 ± 380.7	1901.4 ± 330.2d	1389 ± 311	1970-2390 dynes.s/cm5.m2
PVRI	133 ± 62	141.65 ± 102.9	139.7 ± 67.8	225-315 dynes.s/cm5.m2
LCWI	6.14 ± 1.43	4.9 ± 0.7b	6.94 ± 1.3	3.4-4.2 kg.m/m2
LVSWI	76.6 ± 17.8	59 ± 12.6b	82.65 ± 17	50-62 g.m/m2
RCWI	1.22 ± 0.5	0.79 ± 0.4b	1.31 ± 0.35	0.54-0.60 kg.m/m2
RVSWI	15.25 ± 6.4	9.45 ± 4.8b	16.3 ± 6.3	7.9-9.7 g.m/m2

^bP < 0.01 between EGDS and PREOP;

^dP < 0.001 between EGDS and PREOP. Values are expressed as means ± SD. EGDS: Esophagogastric devascularization and splenectomy; DSRS: Distal splenorenal shunt; HR: Heart rate; MABP: Mean arterial blood pressure; PAP: Mean pulmonary artery pressure; RAP: Mean right atrium pressure; PCWP: Pulmonary capillary wedged pressure; CI: Cardiac index; SI: Systolic index; SVRI: Systemic vascular resistance index; PVRI: Pulmonary vascular resistance index; RCWI and LCWI: Right and left cardiac work indexes, LVSWI and RVSWI: Left and right ventricular systolic work indexes.