High-output left ventricular failure after dextran use in an operative hysteroscopy

A. Golan*, M. Siedner, M. Bahar, R. Ron-El, A. Herman, E. Caspi

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


High-output left ventricular failure occurred in a patient after a difficult case of hysteroscopic lysis of adhesions using dextran as a distension medium. The excessive dissection in the uterine wall, the long duration of the operation, and the large volumes of dextran probably caused intravasation of dextran into the systemic circulation inducing a significant shift of fluids from the third space. This was possibly assisted by the large volume of fluids given intravenously in a 45-kg patient initiating the reported sequence of events.

Original languageEnglish
Pages (from-to)939-941
Number of pages3
JournalFertility and Sterility
Issue number5
StatePublished - 1990
Externally publishedYes


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