[Mechanical assistance of circulation. 42 cases].
OBJECTIVE
Mechanical circulatory support was proposed in patients in cardiogenic shock, as a bridge to cardiac transplantation or weaning. The aim of the present study is an analysis of the first 42 cases.


METHODS
The 42 cases included 31 patients in cardiogenic shock unresponsive to medical therapy, good cardiac transplant candidates, and 11 patients unweanable off ventricular assist, or in shock in the intensive care unit. Results are evaluated in terms of transplantability and hospital survival.


RESULTS
Overall success rate is 67%, ranging from 25% in previously transplanted patients to 46% following acute myocardial infarction and 57% in cardiomyopathy. Age and learning curve played a significative role.


CONCLUSIONS
These data suggest that mechanical support improves survival in patients in cardiogenic shock. Earlier implantation should improve the patient outcome.
Loisance
D
D
Service de Chirurgie thoracique et cardiovasculaire, UA CNRS Thérapeutives Substitutives du Coeur et des Vaisseaux, Créteil.
Deleuze
P H
PH
Mazzucotelli
J P
JP
Castanie
B
B
el Sayed
A D
AD
Le Besnerais
P
P
Mourtada
A
A
Pouillart
F
F
Benvenuti
C
C
Hillion
M L
ML
D000328:Adult; D000368:Aged; D001243:Assisted Circulation / Q000379:methods* / Q000401:mortality; D006348:Cardiac Surgical Procedures / Q000009:adverse effects*; D002311:Cardiomyopathy, Dilated / Q000150:complications*; D005260:Female; D016027:Heart Transplantation; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications*; D012770:Shock, Cardiogenic / Q000209:etiology / Q000601:surgery*
Assistance mécanique de la circulation. 42 observations.