Case reportTemporary assist device for postcardiotomy cardiac failure
Section snippets
Patient 1
A 61-year-old man with unstable angina was admitted for redo coronary artery bypass grafting operation 10 years after a triple-vessel bypass grafting procedure. He had a history of claudication due to aortoiliac atherosclerotic disease. A preoperative angiogram revealed significant triple-vessel disease with blocked vein grafts to the circumflex and right coronary arteries and a 95% stenosis in a vein graft to the left anterior descending artery (LAD). On beating heart, without CPB (off-pump
Comment
Intraaortic balloon pumping was introduced more than 30 years ago and since then has been the most widely used means of providing mechanical support to a failing heart in a variety of settings. It has been preferentially used for postcardiotomy low-output syndrome, and it is considered to reduce mortality and morbidity in this setting [1]. When weaning from CPB is not possible despite inotropic and IABP support, a surgeon is left with no choice other than the use of ventricular assist devices
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30 years of clinical intra-aortic balloon pumpingfacts and figures
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Prognosis after the implantation of an intra-aortic balloon pump in cardiac surgery calculated with a new score
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Cited by (40)
TandemHeart as a Rescue Therapy for Patients With Critical Aortic Valve Stenosis
2009, Annals of Thoracic SurgeryCitation Excerpt :The TandemHeart provides similar flows as those devices, so we do not believe that its performance was insufficient in our 2 patients with postcardiotomy cardiogenic shock. On the contrary, we have used the TandemHeart successfully in other patients who had postcardiotomy cardiogenic shock after CABG, and other investigators have reported similar usage in this setting [26]. The most important factor in treating cardiogenic shock is immediate restoration of end-organ perfusion.
Feasibility Study of a Temporary Percutaneous Left Ventricular Assist Device in Cardiac Surgery
2007, Annals of Thoracic SurgeryUsefulness of Percutaneous Left Ventricular Assist Device as a Bridge to Recovery from Myocarditis
2007, American Journal of CardiologyLevitronix Ventricular Assist Devices as a Bridge to Recovery After Profound Biventricular Heart Failure Associated With Pulmonary Aspergillosis
2007, Journal of Heart and Lung TransplantationCitation Excerpt :The use of clinical judgement, patient desires, and objective myocardial recovery all need to be weighed. These indications are in flux.2,8,12,13,15,19,21–27 The definitive cause of the acute fulminant myocarditis remains unproven, but we suspect it was related to pulmonary Aspergillus.
Cardiac Transplantation and Circulatory Support Devices
2007, Cardiovascular Therapeutics: A Companion to Braunwald's Heart Disease