Document Detail

First successful bridge to recovery with the Impella Recover 100 left ventricular assist device for fulminant acute myocarditis.
MedLine Citation:
PMID:  14635384     Owner:  NLM     Status:  MEDLINE    
A patient with septic and cardiogenic shock secondary to acute fulminant myocarditis was successfully treated by mechanical offloading of the left ventricle using the Impella Recover 100, a new implantable micro-axial blood pump designed for short-term circulatory support (for a maximum of 7 days). The possibility of implanting this device without using cardiopulmonary bypass allowed as to manage the septic shock, to reverse cardiac and hepatorenal failure and to wean the patient off treatment after 18 days of support. At 3 months the left and right ventricular function was satisfactory. The widespread application of this kind of support depends on the availability of an inexpensive "mini-invasive" blood pump, appropriate weaning protocols and emerging strategies to promote sustainable myocardial recovery.
Tiziano Colombo; Andrea Garatti; Giuseppe Bruschi; Marco Lanfranconi; Claudio Russo; Filippo Milazzo; Emanuele Catena; Maria Frigerio; Ettore Vitali
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Italian heart journal : official journal of the Italian Federation of Cardiology     Volume:  4     ISSN:  1129-471X     ISO Abbreviation:  Ital Heart J     Publication Date:  2003 Sep 
Date Detail:
Created Date:  2003-11-25     Completed Date:  2004-03-26     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  100909716     Medline TA:  Ital Heart J     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  642-5     Citation Subset:  IM    
Cardiac Surgery Division, Department of Cardio-Thoracic Surgery, A. De Gasperis, Niguarda Ca, Granda Hospital, Milan, Italy.
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MeSH Terms
Acute Disease
Coronary Circulation / physiology
Equipment Design / instrumentation
Heart-Assist Devices*
Intra-Aortic Balloon Pumping
Myocarditis / complications,  physiopathology,  surgery*
Shock, Cardiogenic / etiology,  physiopathology,  surgery
Shock, Septic / etiology,  physiopathology,  surgery
Stroke Volume / physiology
Ventricular Function / physiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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