Korean J Anesthesiol.  1993 Jun;26(3):499-505. 10.4097/kjae.1993.26.3.499.

The Change of Plasma Concentrations of Fibrinogen Degradation Products and Fibrin Degradation Products During the Open Heart Surgery

• Ryu SC
• Woo S
• Cho KH
• Goo YG
• Park SS

• KMID: 2145923
• DOI: http://doi.org/10.4097/kjae.1993.26.3.499

Abstract

There were many researches, which qualitative or quantitative assays were performed about fibrinolysis and the degree of activation of coagulation system. Authors measured fibrinogen degradation products(FbDP) and fibrin degradation products(FbDP) by monoclonal enzymeimmunoassay, instead of polyclonal method in 12 cases of cardiopulmonary bypass(CPB). 1) The increase of FgDP after sternotomy is verifying the significant fibrino(geno) lysis occured by stimulation of sternotomy. 2) By the result that FgDP was significantly increased compared with FbDP, primary fibrinogenolysis is more important phenomenon than secondary fibrinolysis during CPB. 3) FbDP and FgDP were most significantly increased immediately before the end of CPB and after CPB. 4) Increased FgDP was decreased after CPB but FbDP was still elevated 5 hours after CPB. According to the above results, CPB induced primary fibrinogenolysis and secondary fibrinolysis in open heart surgery.

Keyword

Fibrinogen degradation products; Fibrin degradation products; Cardiopulmonary bypass

MeSH Terms

Cardiopulmonary Bypass
Fibrin Fibrinogen Degradation Products*
Fibrin*
Fibrinogen*
Fibrinolysis
Heart*
Plasma*
Sternotomy
Thoracic Surgery*
Fibrin
Fibrin Fibrinogen Degradation Products
Fibrinogen