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Mediators of Inflammation
Volume 2015, Article ID 341740, 5 pages
http://dx.doi.org/10.1155/2015/341740
Research Article

Matrix Metalloproteinase-9 Production following Cardiopulmonary Bypass Was Not Associated with Pulmonary Dysfunction after Cardiac Surgery

1Department of Anesthesiology, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan
2Department of Internal Medicine, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan
3Division of Cardiology, Department of Internal Medicine, Taipei Medical University Hospital, Taipei, Taiwan
4Division of Cardiovascular Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan
5Graduate Institute of Clinical Medical Sciences, China Medical University, Taichung, Taiwan
6Department of Anesthesiology, China Medical University Hospital, Taichung, Taiwan

Received 5 December 2014; Revised 8 February 2015; Accepted 9 February 2015

Academic Editor: Zhengyuan Xia

Copyright © 2015 Tso-Chou Lin et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. Cardiopulmonary bypass (CPB) causes release of matrix metalloproteinase- (MMP-) 9, contributing to pulmonary infiltration and dysfunction. The aims were to investigate MMP-9 production and associated perioperative variables and oxygenation following CPB. Methods. Thirty patients undergoing elective cardiac surgery were included. Arterial blood was sampled at 6 sequential points (before anesthesia induction, before CPB and at 2, 4, 6, and 24 h after beginning CPB) for plasma MMP-9 concentrations by ELISA. The perioperative laboratory data and variables, including bypass time, PaO2/FiO2, and extubation time, were also recorded. Results. The plasma MMP-9 concentrations significantly elevated at 2–6 h after beginning CPB () and returned to the preanesthesia level at 24 h (), with predominant neutrophil counts after surgery (). The plasma MMP-9 levels at 4 and 6 h were not correlated with prolonged CPB time and displayed no association with postoperative PaO2/FiO2, regardless of reduced ratio from preoperative to postoperative  mmHg (). Conclusion. Elective cardiac surgery with CPB induced short-term elevation of plasma MMP-9 concentrations within 24 hours, however, without significant correlation with CPB time and postoperative pulmonary dysfunction, despite predominantly increased neutrophils and reduced oxygenation.