| Mechanical circulatory support with a centrifugal pump after open heart surgery. | |
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MedLine Citation:
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PMID: 1575059 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Since December 1988, a centrifugal ventricular assist device (VAD) was used to support the circulation in 5 patients who could not be weaned from cardiopulmonary bypass (CPB) or developed cardiogenic shock after removal from CPB. Three patients required a left VAD, one needed a right VAD. One patient had biventricular support using a centrifugal left VAD and a diaphragm type right VAD. The duration of the centrifugal VAD support ranged from 6 to 136 (mean 72)h. All patients were weaned from the VAD, but only 2 patients were discharged from the hospital. Two patients died of multiple organ failure, and one died of cardiogenic shock caused by intractable arrhythmia. Infection occurred in all non-survivors, and 2 of them developed renal failure. We conclude that the centrifugal VAD is effective to recover a failing ventricle. The factors related to the unsuccessful recovery were delayed start of the VAD support and major complications such as infection as infection and renal failure. |
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Authors:
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K Ishino; T Murakami; S Kawakami; T Dohi; H Irie; H Nakayama; Y Senoo; S Teramoto |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Acta medica Okayama Volume: 46 ISSN: 0386-300X ISO Abbreviation: Acta Med. Okayama Publication Date: 1992 Apr |
Date Detail:
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Created Date: 1992-06-04 Completed Date: 1992-06-04 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0417611 Medline TA: Acta Med Okayama Country: JAPAN |
Other Details:
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Languages: eng Pagination: 141-6 Citation Subset: IM |
Affiliation:
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Second Department of Surgery, Okayama University Medical School, Japan. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aortic Valve / surgery* Cardiopulmonary Bypass* Female Heart-Assist Devices* Humans Male Middle Aged Postoperative Complications |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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