[Clinical experience of mechanical ventricular support with centrifugal pump for severe ventricular failure after open heart surgery].
Five adult patients (pts) with age 15-67 (mean 43) received mechanical circulatory support with centrifugal pump (Biomedicus, BP-80, Sarns centrifugal pump) for postcardiotomy profound shock. Three pts underwent left ventricular support (LVS) alone, and the other 2 required biventricular support (BVS). Duration of the LVS ranged from 33 to 240 hours (mean 126 hours) and the right ventricular support 92, 120 hrs. Pump flow rate was 1.1 to 2.5 (mean 1.9) L/min/m2. Sixteen pumps were used and the pump exchange was performed 9 times in five pts and an average perfusion time per pump was 57 hrs. Two of 3 pts with LVS alone survived and one died of multiorgan failure associated with right heart dysfunction. In two pts with BVS, one survived and the other died of persistent low cardiac output early after pump removal. As the complication during mechanical support, bleeding was seen in 3 pts and cerebral infarction in one. Although centrifugal pump has potential limitation in antithrombogenicity and durability, this device provides a simple and effective mechanical circulatory support.
Matsuwaka
R
R
First Department of Surgery, Osaka University Medical School, Japan.
Matsuda
H
H
Kaneko
M
M
Masai
T
T
Fudemoto
Y
Y
Kobayashi
T
T
Imagawa
H
H
Miyamoto
K
K
Morisaki
H
H
Kawashima
Y
Y
D000293:Adolescent; D000328:Adult; D000368:Aged; D002303:Cardiac Output, Low / Q000601:surgery*; D002498:Centrifugation; D005260:Female; D006331:Heart Diseases / Q000503:physiopathology / Q000601:surgery*; D006353:Heart-Assist Devices; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000601:surgery*