Document Detail

Left ventricular assistance with the centrifugal pump: management of the patient with stunned myocardium.
MedLine Citation:
PMID:  2261016     Owner:  NLM     Status:  MEDLINE    
Prompt left ventricular assistance by the centrifugal pump enables the survival of many patients with postoperative low cardiac output who cannot be weaned from cardiopulmonary bypass with the aid of balloon counterpulsation and inotropic agents. Successful weaning from the centrifugal pump, however, depends on the careful selection of appropriate candidates as well as the strict control of pump flow, oncotic pressure, coagulopathy, blood pressure, and systemic afterload. The installation of a hemoconcentration device into the pump line helps control hemodilution and maintain adequate oncotic pressure. The management of a patient who was totally dependent upon left ventricular assistance is described.
R García-Rinaldi; L Brown; G E Bretz; C A Howland
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Boletín de la Asociación Médica de Puerto Rico     Volume:  82     ISSN:  0004-4849     ISO Abbreviation:  Bol Asoc Med P R     Publication Date:  1990 Jul 
Date Detail:
Created Date:  1991-02-01     Completed Date:  1991-02-01     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7505267     Medline TA:  Bol Asoc Med P R     Country:  PUERTO RICO    
Other Details:
Languages:  eng     Pagination:  292-7     Citation Subset:  IM    
St. Joseph Heart Center, Cardiovascular Surgery of Texas.
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MeSH Terms
Anticoagulants / therapeutic use
Blood Coagulation Disorders / drug therapy,  etiology
Cardiac Output, Low / etiology,  therapy*
Coronary Artery Bypass
Equipment Design
Heart-Assist Devices*
Intra-Aortic Balloon Pumping
Postoperative Care
Ventricular Function, Left
Reg. No./Substance:

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

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