Abstract
Postcardiotomy ventricular failure is a potentially clinical reversible condition where recovery of myocardial function (3, 11, 12, 17) is generally attempted with pharmacological treatment. However, when full inotropic and vasodilator support fails to restore a satisfactory cardiac output, some type of mechanical support becomes lifesaving. Extra-Corporeal Membrane Oxygenator (ECMO) which has provided excellent results in the management of respiratory failure (1, 2, 7, 9) has also been employed in the treatment of postcardiotomy cardiogenic shock in children (3, 8, 17, 18, 21, 23). In this setting the use of a Mono- or Bi-Ventricular Assist Device (BVAD) might have the theoretical advantage to avoid, when possible, the use of an oxygenator.
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References
Andrews AF, Nixon CA, Ciley RF (1986) One to three-year outcome for 14 neonatal survivors of extracorporeal membrane oxygenation. Pediatrics 78:692–298
Bartlett RH, Gazzaniga AB, Fong SW (1977) Extracorporeal membrane oxygenator support for cardiopulmonary failure. Experience in 28 cases. J Thorac Cardiovasc Surg 73:375–386
Bartlett RH, Gazzaniga AB, Wetmore NE (1980) Extracorporeal membrane oxygenation (ECMO) in the treatment of caridac and respiratory failure in children. Trans ASAIO 26:578–581
Copeland JG (1989) Bleeding and anticoagulation. Ann Thorac Surg 47: 88–95
Didisheim P, Olsen Don B, Farrar DJ, Portner PM, Griffith BP, Pennington DG, Joist JH, Schoen FJ, Gristina AG, Anderson JM (1989) Infections and thromboembolism with implantable cardiovascular devices. Trans ASAIO 35:54–70
Dixon CM, Magovern GJ (1982) Evaluation of the Bio Pump for long cardiac support without heparinization. J Extra Corp Tech 14:331–336
Hill JD, de Levai MR, Fallat RJ (1972) Acute respiratory insufficiency: treatment with prolonged extracorporeal oxygenation. J Thorac Cardiovasc Surg 64:551
Kanter KR, Pennington DG, Weber TR (1987) Extracorporeal membrane oxygenation for postoperative cardiac support in children. J Thorac Cardiovasc Surg 93:27–35
Lantos JD, Frader (1989) Extracorporeal membrane oxygenation and the ethics of clinical research in pediatrics. Letter to Editor, N Engl J Med 323:409–413
McBridge LR, Ruzevich SA, Pennington DG, Kennedy DJ, Kanter KR, Miller LW, Swartz MT, Termuhlen DF (1987) Infectious complications associated with ventricular assist device. Trans ASAIO 33:201–202
NosÇ Y, (1990) My life with the National Institutes of Health Artificial Heart Program. Artif Organs, 14:174–190
Pennington DG, Merjavy JP, Codd JE (1984) Extracorporeal membrane oxygenation for patients with cardiogenic shock. Circulation 70 (Suppl 1): 130–137
Pennington DG, Bernhard WF, Golding LR, Berger RL, Khuri SF, Watson JT (1985) Long-term follow-up postcardiotomy patients with profound cardiogenic shock treated with ventricular assist devices. Circulation 72:II-216
Pennington DH, Samuels LD, Wiliam G (1985) Experience with the Pierce-Donachy ventricular assist device in postcardiotomy patients with cardiogenic shock. World J Surg Surg 9:37–46
Pennington DG, Meriavy JP, Swartz MT, Codd JE, Barner HB, Lagunoff D, Bashiti H, Kaiser GC, Willman VL (1985) The importance of biventricular failure in patients with postoperative cardiogenic shock. Ann Thorac Surg 39: 13–26
Pennington DG, Codd JE, Merray JP (1984) The expanded use of ventricular bypass systems for severe cardiac failure and as a bridge to cardiac transplantation. J Heart Transplant 3:170–178
Redmond CR, Graves ED, Falterman KW, Ochsneer JL, Arensman RM (1987) Extracorporeal membrane oxygenation for respiratory and cardiac failure in infants and children. J Thorac Cardiovasc Surg 93:199–204
Rogers AJ, Trento T, Siewers RD, Griffith BP, Hardesty RL, Pahl E, Beerman LB, Fricker FJ, Fisher DR (1989) Extracorporeal membrane oxygenation for postcardiotomy cardiogenic shock in children. Ann Thorac Surg 47:903–906
Ruzevich SA, Kanter KR, Pennington DG, Swartz MT, McBride LR, Termuhlen DF (1988) Long-term follow-up of survivors of postcardiotomy circulatory support. ASAIO Transactions 34:116–124
Soeter JR, Mamiya RT, Sprague AY, McNamara JJ (1973) Prolonged extracorporeal oxygenation for cardiorespiratory failure after tetralogy correctioin. J Thorac Cardiovasc Surg 66:214–218
Trento A, Thompson AA, Siewers R (1988) Extracorporeal membrane oxygenation in children. New trends. J Thorac Cardiovasc Surg 96:542–547
Tutsui T, Sutton C, Harasaki G, Jacobs G, Golding L, NosÇ Y (1986) Idioperipheral pulsation during nonpulsatile biventricular bypass experiments. Trans ASAIO, 22:263–268
Zumbro Jr. GL, Shearer G, Kitchens WR, Galloway RF (1985) Extracorporeal membrane oxygenation for circulatory support after repair of congenital heart defects. Heart Transplantation IV: 348–352
Weinhaus L, Canter C, Noetzel M, McAlister W, Spray TL (1989) Extracorporeal membrane oxygenation for circulatory support after repair of congenital heart defects. Ann Thorac Surg 48:206–212
Cohrane A, Horton A, Butt W, Skillington P, Kari T, Mee R. Neonatal and Pediatric Membrane Oxygenation. AustraAs J Cardiac Thorac Surg 1992; 1:17–22
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© 1997 Dr. Dietrich Steinkopff Verlag GmbH & Co. KG, Darmstadt
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Glauber, M., Ferrazzi, P. (1997). Mechanical circulatory support in pediatric age: Experience of Bergamo. In: Hetzer, R., Hennig, E., Loebe, M. (eds) Mechanical Circulatory Support. Steinkopff. https://doi.org/10.1007/978-3-642-95984-4_5
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DOI: https://doi.org/10.1007/978-3-642-95984-4_5
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