Document Detail

Mechanical circulatory support with a centrifugal pump after open heart surgery.
MedLine Citation:
PMID:  1575059     Owner:  NLM     Status:  MEDLINE    
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.
K Ishino; T Murakami; S Kawakami; T Dohi; H Irie; H Nakayama; Y Senoo; S Teramoto
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Acta medica Okayama     Volume:  46     ISSN:  0386-300X     ISO Abbreviation:  Acta Med. Okayama     Publication Date:  1992 Apr 
Date Detail:
Created Date:  1992-06-04     Completed Date:  1992-06-04     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0417611     Medline TA:  Acta Med Okayama     Country:  JAPAN    
Other Details:
Languages:  eng     Pagination:  141-6     Citation Subset:  IM    
Second Department of Surgery, Okayama University Medical School, Japan.
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MeSH Terms
Aortic Valve / surgery*
Cardiopulmonary Bypass*
Heart-Assist Devices*
Middle Aged
Postoperative Complications

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

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