| First successful bridge to recovery with the Impella Recover 100 left ventricular assist device for fulminant acute myocarditis. | |
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MedLine Citation:
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PMID: 14635384 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Tiziano Colombo; Andrea Garatti; Giuseppe Bruschi; Marco Lanfranconi; Claudio Russo; Filippo Milazzo; Emanuele Catena; Maria Frigerio; Ettore Vitali |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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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:
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Created Date: 2003-11-25 Completed Date: 2004-03-26 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 100909716 Medline TA: Ital Heart J Country: Italy |
Other Details:
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Languages: eng Pagination: 642-5 Citation Subset: IM |
Affiliation:
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Cardiac Surgery Division, Department of Cardio-Thoracic Surgery, A. De Gasperis, Niguarda Ca, Granda Hospital, Milan, Italy. tcolombo@cesano.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Acute Disease Adult Coronary Circulation / physiology Equipment Design / instrumentation Heart-Assist Devices* Humans Intra-Aortic Balloon Pumping Male Myocarditis / complications, physiopathology, surgery* Shock, Cardiogenic / etiology, physiopathology, surgery Shock, Septic / etiology, physiopathology, surgery Stroke Volume / physiology Ventricular Function / physiology |
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