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Analysis of Clinical Factors for Survival After Left and Biventricular Bypass Using Centrifugal Pump Following Open Heart Surgery in Infants and Adults
Authors:Hikaru Matsuda  Ryousuke Matsuwaka  Mitsunori Kaneko  Tohru Kobayashi  Katsuhiko Miyamoto†  Hirosi Morisaki‡  Hiroaki Kawata  Hirosi Takami  Takahumi Masai  Susumu Nakano  Yasunaru Kawashima
Institution:First Department of Surgery, Osaka University Medical School, Japan.
Abstract:A total of eight patients, including three infants, received left or biventricular assist using centrifugal pump (CFP) following open heart surgery. Three infants, aged 9-11 months and with complex cardiac lesions, were supported by left heart bypass (LHB) using pediatric type CFP for 63 h, 64 h, and 13 days. All were weaned from LHB, but long-term survival was not obtained, mainly due to complications. In five adult patients, LHB alone was used in three, and biventricular support in two for 33-240 h with three survivals. The factors related to unsuccessful recovery were delayed start of support and multiorgan failure.
Keywords:Left ventricular assist device  Centrifugal pump  Left heart bypass  Pediatric assist device  Postcardiotomy shock
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