Document Detail

Mechanical circulatory support for postcardiotomy ventricular failure: the Heart Institute of Japan experience 1984-1992.
MedLine Citation:
PMID:  8110056     Owner:  NLM     Status:  MEDLINE    
In the last 9 years, 30 patients received assisted circulation or a ventricular assist device after open-heart operations at the Heart Institute of Japan. After cardiovascular surgery, 9 of those patients underwent venoarterial bypass, 10 had biventricular bypass, 7 had left ventricular bypass, and the remaining 4 received a left ventricular assist device. Of the first 15 patients, only 3 (20%) were discharged from the hospital. In contrast, 7 (46.7%) of the last 15 patients were discharged without major complications. With respect to complications, bleeding and ventricular arrhythmia (immature weaning) decreased with low-heparinized isolated left ventricular supports. However, profound biventricular failure, infection, and multiple organ failure remain as possible complications with any type of assisted circulation. These results suggest that early application of circulatory support and appropriate selection of the mode of support and devices used are important for successful circulatory support.
M Kitamura; J Hirota; H Niinami; H Nishida; M Endo; A Hashimoto; H Koyanagi
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Artificial organs     Volume:  17     ISSN:  0160-564X     ISO Abbreviation:  Artif Organs     Publication Date:  1993 Nov 
Date Detail:
Created Date:  1994-03-22     Completed Date:  1994-03-22     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7802778     Medline TA:  Artif Organs     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  897-900     Citation Subset:  IM    
Department of Cardiovascular Surgery, Heart Institute of Japan, Tokyo Women's Medical College.
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MeSH Terms
Cardiac Output, Low / etiology,  physiopathology,  therapy*
Cardiac Surgical Procedures / adverse effects*
Heart-Assist Devices*
Middle Aged
Postoperative Complications / physiopathology,  therapy*
Retrospective Studies
Treatment Failure
Ventricular Function / physiology*

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

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