Transient Th1/Th2 disbalance indicates postoperative effusions and edema after cardiopulmonary bypass in children

Background Cardiac surgery with cardiopulmonary bypass (CPB) induces substantial release of IL‐10, indicating increased Th2 cell response. Therefore, in this study, we wanted to verify if this response is due to CPB or surgical trauma, and to study its relation to postoperative effusions and edema (...

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Published in:Cytometry. Part A 2006-03, Vol.69A (3), p.165-168
Main Authors: Bocsi, József, Richter, Margit, Hambsch, Jörg, Barten, Markus J., Dähnert, Ingo, Schneider, Peter, Tárnok, Attila
Format: Article
Language:English
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Summary:Background Cardiac surgery with cardiopulmonary bypass (CPB) induces substantial release of IL‐10, indicating increased Th2 cell response. Therefore, in this study, we wanted to verify if this response is due to CPB or surgical trauma, and to study its relation to postoperative effusions and edema (POEE) in children. Methods Th1/Th2 reaction was monitored in children undergoing cardiovascular surgery with (n = 75) and without CPB (n = 29). Results Surgery with CPB compared to surgery without CPB induced a transient shift towards Th2. Elevated Th2 response was related to increased vascular permeability and POEE. Conclusion The immune suppression/Th2 response is typical for CPB, and at intermediate level is tolerable but at high level could be adverse for the patients. © 2006 International Society for Analytical Cytology
ISSN:1552-4922
1552-4930
DOI:10.1002/cyto.a.20213