Document Detail


A two and one half year clinical experience with a mechanical left ventricular assist pump in the treatment of profound postoperative heart failure.
MedLine Citation:
PMID:  457304     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A sac-type paracorporeal left ventricular assist pump was implanted in 9 patients suffering from profound left ventricular failure following open heart surgery. Two patients had good recovery of left ventricular function and were weaned from assist. One survived 14 months postoperatively. Primary causes of death among the remaining patients were (1) primary right ventricular failure, (2) assist pump inlet cannula obstruction and (3) excessive bleeding. The strategies developed or proposed to deal with these problems include, respectively: (1) biventricular assist for patients with concomitant right ventricular failure; (2) cannulation of the left atrium to avoid inlet cannula obstruction by the left ventricular wall and intraventricular septum; (3) more rapid selection of left assist candidates and more rapid implantation techniques to reduce the coagulopathy associated with prolonged cardiopulmonary bypass, and an effective autotransfusion system to augment blood replacement.
Authors:
E K Olsen; W S Pierce; J H Donachy; D L Landis; G Rosenberg; W M Phillips; G A Prophet; M J O'Neill; J A Waldhausen
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  The International journal of artificial organs     Volume:  2     ISSN:  0391-3988     ISO Abbreviation:  Int J Artif Organs     Publication Date:  1979 Jul 
Date Detail:
Created Date:  1979-09-25     Completed Date:  1979-09-25     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  7802649     Medline TA:  Int J Artif Organs     Country:  ITALY    
Other Details:
Languages:  eng     Pagination:  197-206     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Animals
Assisted Circulation / instrumentation*
Cardiopulmonary Bypass / adverse effects
Cattle
Female
Heart Failure / physiopathology,  surgery*
Heart Ventricles / physiopathology,  surgery
Hemorrhage / etiology
Humans
Male
Middle Aged
Postoperative Complications
Systole

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


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