title: Mechanical left ventricular support in patients with Marfan's syndrome: a report of two cases.
abstract: Left ventricular assist device (LVAD) was utilized for the treatment of postcardiotomy heart failure in two patients with Marfan's syndrome. Patient 1 (a 22-year-old) with annuloaortic ectasia (AAE) and DeBakey type II dissection had been supported by LVAD for 87h after composite graft replacement of the ascending aorta and aortic valve. Patient 2 (a 52-year-old) with AAE and DeBakey type I dissection had been supported by LVAD for 91 h after aortic valve replacement. During the assist, both patients complicated bleeding from the fragile left atria near the sites of cannulation. Patient 1 died of multiple organ failure on the 62nd postoperative day, but patient 2 returned to work after surgery.
authors.affiliation: Second Department of Surgery, Okayama University Medical School, Japan.
authors.forename: K
authors.initials: K
authors.lastname: Ishino
authors.forename: T
authors.initials: T
authors.lastname: Murakami
authors.forename: H
authors.initials: H
authors.lastname: Irie
authors.forename: S
authors.initials: S
authors.lastname: Kawakami
authors.forename: Y
authors.initials: Y
authors.lastname: Senoo
authors.forename: S
authors.initials: S
authors.lastname: Teramoto
mesh_terms: D000328:Adult; D006353:Heart-Assist Devices; D006801:Humans; D008297:Male; D008382:Marfan Syndrome / Q000628:therapy*; D008875:Middle Aged