Abstract
Recent improvements in myocardial protection during cardiac surgery have decreased the incidence of perioperative myocardial infarction [1] and increased the salvage rate of patients with ventricular failure due to ischemia and valvular heart disease [2]. Patients with postcardiotomy ventricular failure have been treated successfully be means of conventional drug therapy and the intra-aortic balloon pump (IABP) with a salvage rate of greater than 50% [3, 4]. However, a small percentage of patients have ventricular failure refractory to drugs and IABP and require a more complete form of mechanical support. Although most of our clinical experience with circulatory support systems has been obtained with patients during or immediately following cardiac surgery [5, 6], we have also encountered several patients under different circumstances who required circulatory support for cardiogenic shock. Our experience has recently been expanded to include patients with acute myocardial infarction shock, patients with cardiomyopathy who suddenly deteriorated, and patients with acute cardiorespiratory insults who were treated with circulatory support devices in order to provide stabilization prior to cardiac catheterization, coronary bypass surgery, or heart transplantation.
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References
Barner HB, Kaiser GC, Codd JE, Tyras DH, Pennington DG, Laks H, Willman VL (1980) Clinical experience with cold blood as the vehicle for hypothermic potassium cardioplegia. Ann Thorac Surg 29: 224
Richardson JV, Kouchoukos NT, Wright JO, Karp RB (1979) Combined aortic valve replacement and myocardial revascularization: Results in 220 patients. Circulation 59: 75
McEnany TM, Kay HR, Buckley MJ, Daggett WM, Erdmann AJ, Mundth ED, Rao RS, DeToeuf J, Austen WG (1978) Clinical experience with intra-aortic balloon pump support in 728 patients. Circulation [Suppl] 58: 1–124
Pennington DG, Swartz MT, Codd JE, Merjavy JP, Kaiser GC (1983) Intra-aortic balloon pumping in cardiac surgical patients — a nine-year experience. Ann Thorac Surg
Pennington DG, Merjavy JP, Swartz MT, Willman VL (1982) Clinical experience with a centrifugal pump ventricular assist device. Trans Am Soc Artif Intern Organs 28: 93 — 99
Pennington DG, Willman VL (1980) Clinical experience with a centrifugal pump ventricular assist device. Circulatory Assist and Artificial Heart, USA-USSR Joint Symposium. NIH Publication 80–2032, July 1980
Norman JC, Cooley DA, Igo SR, Hibb CW, Johnson MD, Bennett JG, Fuqua FM, Trono R, Edmunds CH (1977) Prognostic indices for survival during postcardiotomy intra-aortic balloon pumping. J Thorac Cardiovasc Surg 74: 709
Bernstein EF, DeLaria GA, Johansen KH, Shuman RL, Stasz P, Reich S (1975) Twenty-four-hour left ventricular bypass with a centrifugal blood pump. Ann Surg 181: 412
Johnston GG, Hammill FS, Marzek U, Gerard D, Johansen K, Dilley RB, Bernstein EF (1976) Prolonged pulseless perfusion in unanesthetized calves. Arch Surg 3: 1225
Pennington DG, Hahn JW, Standeven JW, Vitale TJ, Morton PE, Willman VL (1979) Hemodynamic effects of a centrifugal left ventricular assist device in dogs with acute myocardial infarction and interventricular shunt. Surg Forum 30: 231
Golding LR (1978) A simplified blood-access method for temporary left ventricular assist system in humans. Artif Organs 2: 317
Laks H, Berger RL, Parr GVS, Pennington DG (1982) Acute cardiac failure: The importance of the right ventricle. Trans Am Soc Artif Int Organs 28: 678–680
Donachy JH, Landis DL, Rosenberg G, Prophet GA, Ferarri O, Pierce WS (1979) Design and evaluation of a left ventricular assist device: The angle port pump. In: Unger F (ed) Assisted circulation. Springer, Berlin Heidelberg New York
Pierce WS, Donachy JH, Landis DH, Brighton JA, Rosenberg G, Migliore JJ, Prophet GA, White WJ, Waldhausen J A (1978) Prolonged mechanical support of the left ven–tricle. Circulation [Suppl] 58: 1–133
Pierce WS (1979) Clinical left ventricular bypass: Problems of pump inflow obstruction and right ventricular failure. ASAIO 2: 1
Pennington DG, McBride LR, Swartz MT, Bashiti H, Hahn J, Pierce WS (1982) Left atrial-aortic (La-Ao) perfusion with a ventricular assist device ( VAD ). Trans Am Soc Artif Int Organs 28
Bartlett RH, Gazzaniga AB, Fong SW, Jeffries MR, Roohk HV, Haiduc N (1977) Extracorporeal membrane oxygenator support for cardiopulmonary failure: Experience in 28 cases. J Thorac Cardiovasc Surg 73: 375–386
Hill JD, de Leval MR, Fallat RJ, Bramson ML, Eberhart RC, Schulte HD, Osborn JJ, Barber R, Gerbode F (1972) Acute respiratory insufficiency: Treatment with prolonged extracorporeal oxygenation. J Thorac Cardiovasc Surg 64: 551–562
Weiss M (1982) Cardiopulmonary assistance with membrane oxygenation in a case of acute heart failure following drug intoxication. ASAIO J 5: 27–37
Weiss M, Bruniaux J, Daniel JP, Nicolas F, Safar D, Planche C, Hvass U, Binet JP (1979) Successful treatment of uncontrollable postoperative cardiac failure in young children by extracorporeal membrane oxygenation. Proc Eur Soc Artif Organs 6: 277
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Pennington, D.G., Merjavy, J.P., Codd, J.E., Swartz, M.T., Willman, V.L. (1984). Temporary Mechanical Support of Patients with Profound Ventricular Failure. In: Unger, F. (eds) Assisted Circulation 2. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-69475-2_10
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DOI: https://doi.org/10.1007/978-3-642-69475-2_10
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