PMID: 8604929Dec 1, 1995Paper

Ventricular assist devices in pediatric cardiac surgery

The Annals of Thoracic Surgery
R J CostaT B Cartmill

Abstract

Early experience in other centers with pediatric assist devices has been favorable. Prospectively we examined our first 13 patients between January 1992 and September 1994. Thirteen children underwent ventricular assistance at Royal Alexandra Hospital for Children. Age ranged from 4 days to 30 months, weight from 2.9 kg to 17 kg. Ventricular assistance was employed from 1.5 hours to 190 hours. Of 12 surgical patients, 8 required left ventricular assistance to be weaned from cardiopulmonary bypass after correction of congenital defects, and 4 required support in the postoperative period for refractory low cardiac output. A child was supported after a kick to the chest by a horse caused cardiogenic shock. All 13 patients initially responded to ventricular assistance and 7 remain alive. Of the deaths, 2 were neurologic, 2 due to myocardial failure, and 2 to sepsis. The major complications in the first days were hemorrhage and tamponade. Later problems included thrombosis of the circuit despite systemic heparinization, and a cannula-related tear to the anterior mitral leaflet. The 7 survivors are well after 3 to 32 months. Despite the mortality and complications, we are encouraged by these results, in the light of almost certain de...Continue Reading

References

Mar 1, 1991·The Annals of Thoracic Surgery·T H Wareing, N T Kouchoukos
Sep 1, 1988·Journal of Cardiac Surgery·C D CampbellR L Replogle
Jan 1, 1971·The American Journal of Cardiology·M E DeBakey
Jan 1, 1993·The Annals of Thoracic Surgery·D G Pennington, M T Swartz

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Citations

May 2, 2007·Artificial Organs·Faruk CingozBrian W Duncan
Nov 30, 2019·Expert Review of Medical Devices·Roland HetzerEva Maria Javier Delmo
May 16, 1998·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·C A ThuysT R Karl
Jun 30, 2015·Acute Medicine & Surgery·Yasumasa OodeYouichi Yanagawa
Jun 13, 2002·ASAIO Journal : a Peer-reviewed Journal of the American Society for Artificial Internal Organs·Amy L ThrockmortonSonna M Patel
Jan 8, 2004·The International Journal of Artificial Organs·A L ThrockmortonD B Olsen
Dec 19, 2001·Journal of Cardiothoracic and Vascular Anesthesia·A PiratG Arslan

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