Centrifugal pump left heart assist in pediatric cardiac operations. Indication, technique, and results.
Twelve children aged 6 days to 12 years had left or common atrial to aortic extracorporeal support with a centrifugal pump after cardiac operations. Left ventricular assist time ranged from 38 to 190 hours. Ten patients were successfully weaned from left ventricular assist device support; four hospital deaths occurred afterward. All six survivors were discharged from the hospital with improved left ventricular function. Although the follow-up time is short and the experience limited, we consider the centrifugal pump type of left ventricular assist device to be a potentially lifesaving treatment modality for selected pediatric patients having cardiac operations.
Victorian Pediatric Cardiac Surgical Unit, Royal Children's Hospital, Melbourne, Australia.
T R
TR
Karl
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S
Sano
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S
Horton
R B
RB
Mee
D002303:Cardiac Output, Low / Q000209:etiology / Q000628:therapy*; D002315:Cardiopulmonary Bypass; D002648:Child; D002675:Child, Preschool; D004867:Equipment Design; D005260:Female; D005500:Follow-Up Studies; D006330:Heart Defects, Congenital / Q000401:mortality / Q000601:surgery*; D006353:Heart-Assist Devices; D006470:Hemorrhage / Q000209:etiology; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007239:Infections / Q000209:etiology; D007432:Intraoperative Period; D008297:Male; D011183:Postoperative Complications / Q000628:therapy*; D015996:Survival Rate