Document Detail

Mechanical circulatory assistance for postoperative cardiogenic shock: a three year experience.
MedLine Citation:
PMID:  7245495     Owner:  NLM     Status:  MEDLINE    
Retrospective analysis of 14 patients undergoing circulatory support for postcardiotomy cardiogenic shock during the past 3 yrs has demonstrated the ability of the profoundly depressed myocardium to recover. Four patients were totally weaned from circulatory support and 2 are long-term survivors. Our results suggest that improved survival is dependent on the absence of certain peri-operative complications. To improve future clinical results we suggest that prompt application of assist pumping is necessary to eliminate prolonged cardiopulmonary bypass times and subsequent massive bleeding; those circulatory support systems requiring systemic anticoagulation are of no value in the treatment of postcardiotomy cardiogenic shock; the use of atrial cannulation may be advantageous in certain patients to eliminate critical inflow obstruction, further prolongation of cardiopulmonary bypass, and additional myocardial damage; and that the high incidence of right ventricular failure that is refractory to medical therapy makes the ability to support both ventricles mandatory.
W E Pae; G Rosenberg; J H Donachy; D L Landis; W M Phillips; G V Parr; G A Prophet; W S Pierce
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Transactions - American Society for Artificial Internal Organs     Volume:  26     ISSN:  0066-0078     ISO Abbreviation:  Trans Am Soc Artif Intern Organs     Publication Date:  1980  
Date Detail:
Created Date:  1981-08-10     Completed Date:  1981-08-10     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  7506088     Medline TA:  Trans Am Soc Artif Intern Organs     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  256-61     Citation Subset:  IM    
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MeSH Terms
Assisted Circulation / methods*
Cardiac Surgical Procedures / mortality
Cardiopulmonary Bypass / adverse effects
Intra-Aortic Balloon Pumping
Middle Aged
Postoperative Complications
Retrospective Studies
Shock, Cardiogenic / therapy*
Grant Support
2 R01-HL13426-09/HL/NHLBI NIH HHS

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

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