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Mechanical ventricular assist in children: Experience at the Children’s Hospital, Boston (1990 – 1995)

  • P. J. del Nido
  • J. E. Mayer
  • R. A. Jonas
Conference paper

Abstract

Mechanical circulatory support in children with severe cardiac failure is still limited by the availability of devices capable of accommodating the wide range of flows required for pediatric support. In the United States, circulatory assistance for cardiac failure is most commonly achieved by the use of extracorporeal membrane oxygenator circuit (ECMO) (2, 3, 8). The most frequent indication for circulatory support is myocardial dysfunction following cardiac surgery. There is also a growing number of children placed on ECMO for acute decompensation of a chronic cardiomyopathy or a viral myocarditis, where mechanical support is used for temporary support or as a bridge to transplantation.

Keywords

Mechanical Support Centrifugal Pump Circulatory Support Mechanical Circulatory Support Viral Myocarditis 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Chang AC, Hanley FL, Weindling SN, Wernovsky G, Wessel DL (1992) Left heart support with a ventricular assist device in an infant with acute myocarditis. Crit Care Med 20:712–715PubMedCrossRefGoogle Scholar
  2. 2.
    Delius RE, Zwischenberger JB, Cilley R, Behrendt DM, Bove EL, Deeb M, Crowley D, Heidelberger KP, Bartlett RH (1990) Prolonged extracorporeal life support of pediatric and adolescent cardiac transplant patients. Ann Thorac Surg 50:791–5PubMedCrossRefGoogle Scholar
  3. 3.
    del Nido PJ, Armitage JM, Fricker FJ, Shaver M, Cipriani L, Dayal G, Park SC, Siewers RD (1994) Extracorporeal membrane oxygenation support as a bridge to pediatric heart transplantation. Circulation 90:(suppl II) 66–69Google Scholar
  4. 4.
    Jett GK, Picone AL, Clark RE (1987) Circulatory support for right ventricular dysfunction. J Thorac Cardiovasc Surg 94:95–103PubMedGoogle Scholar
  5. 5.
    Karl TR, Sano S, Horton S, Mee RB (1991) Centrifugal pump left heart assist in pediatric cardiac operations; indications, techniques and results. J Thorac Cardiovasc Surg 102:624–30PubMedGoogle Scholar
  6. 7.
    Louis PT, Bricker JT, Frazier OH, Duncan M, Towbin JA, Gelb BD, Macris MA, Radovencavic B, Kearney D, Igo S, Price J, Cooley DA (1992) Nonpulsatile total left ventricular support in pediatric patients. Crit Care Med 20:704–707PubMedCrossRefGoogle Scholar
  7. 8.
    Meliones JN, Custer JR, Snedecor S, Moler FW,O’Rourke PP, Delius RE (1991) Extracorporeal life support for cardiac assist in pediatric patients. Circ 84:(suppl III)168–172Google Scholar

Copyright information

© Dr. Dietrich Steinkopff Verlag GmbH & Co. KG, Darmstadt 1997

Authors and Affiliations

  • P. J. del Nido
    • 1
  • J. E. Mayer
    • 1
  • R. A. Jonas
    • 1
  1. 1.Department of Cardiac SurgeryChildren’s HospitalBostonUSA

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