Mechanical circulatory support for post cardiotomy cardiogenic shock in infants

ASAIO Journal : a Peer-reviewed Journal of the American Society for Artificial Internal Organs
K IshinoRoland Hetzer

Abstract

Eleven infants weighing 2.3 to 7.8 kg underwent mechanical circulatory support for post cardiotomy cardiogenic shock. Initiated pre-operatively in two patients, extracorporeal membrane oxygenation was used in a total of eight patients aged 6 days to 3 months in association with repair of cyanotic congenital heart disease with increased pulmonary blood flow or with a right sided obstructive lesion. Ventricular assist devices were used in three other patients: a centrifugal left ventricular assist device in Patient 1 (10 months, 5.7 kg) after repair of the anomalous left coronary artery, and a pneumatic biventricular assist device (stroke volume 12 ml) in Patient 2 (6 months, 7.0 kg) for cardiac arrest after closure of ventricular septal defect and in Patient 3 (10 months, 7.8 kg) for post transplant graft failure. Duration of extracorporeal membrane oxygenation duration ranged from 26 to 192 hr (mean, 88 hr). Three patients were weaned from extracorporeal membrane oxygenation and two survived. Two others were separated from extracorporeal membrane oxygenation because of bleeding, but both subsequently died. Patient 1 was weaned from the left ventricular assist device after 192 hr and discharged from the hospital. Support was dis...Continue Reading

Citations

Nov 29, 2007·ASAIO Journal : a Peer-reviewed Journal of the American Society for Artificial Internal Organs·Kurt A DasseHarvey S Borovetz
Jun 10, 2000·Artificial Organs·C BachmannJ M Tarbell
Mar 7, 2021·Netherlands Heart Journal : Monthly Journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation·C L MeuweseD W Donker

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cardiogenic Shock

Cardiogenic shock is a devastating consequence of acute myocardial infarction and is associated with an extremely high mortality. Here is the latest research.

Related Papers

The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation
D G PenningtonM T Swartz
The Journal of Thoracic and Cardiovascular Surgery
K R KanterV L Willman
The Journal of Thoracic and Cardiovascular Surgery
D G PenningtonV L Willman
ASAIO Journal : a Peer-reviewed Journal of the American Society for Artificial Internal Organs
Sandra V ChaparroSi M Pham
© 2021 Meta ULC. All rights reserved