| Mechanical circulatory assistance for postoperative cardiogenic shock: a three year experience. | |
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MedLine Citation:
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PMID: 7245495 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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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:
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Type: Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
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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:
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Created Date: 1981-08-10 Completed Date: 1981-08-10 Revised Date: 2007-11-14 |
Medline Journal Info:
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Nlm Unique ID: 7506088 Medline TA: Trans Am Soc Artif Intern Organs Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 256-61 Citation Subset: IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Assisted Circulation / methods* Cardiac Surgical Procedures / mortality Cardiopulmonary Bypass / adverse effects Humans Intra-Aortic Balloon Pumping Middle Aged Postoperative Complications Retrospective Studies Shock, Cardiogenic / therapy* |
| Grant Support | |
ID/Acronym/Agency:
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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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