Intra-aortic balloon pumping in children with dilated cardiomyopathy as a bridge to transplantation.
Children with dilated cardiomyopathy awaiting transplantation who fail maximal pharmacologic therapy may benefit from intra-aortic balloon pumping. Between July 1993 and August 1999, a total of 4 children with dilated cardiomyopathy underwent pre-transplant balloon pumping for 6.0 +/- 5.8 (1 to 12) days. One child (pumped for 12 days) died awaiting transplant, and the remaining 3 were successfully transplanted. Intra-aortic balloon pumping timed precisely with M-mode echocardiographic markers offers a relatively simple and safe intermediate level of mechanical support for children with dilated cardiomyopathy who fail pharmacologic support.
Minich
L L
LL
Departments of Pediatrics and Cardiothoracic Surgery, University of Utah, Salt Lake City, Utah 84113, USA.
Tani
L Y
LY
Hawkins
J A
JA
Orsmond
G S
GS
Di Russo
G B
GB
Shaddy
R E
RE
D002311:Cardiomyopathy, Dilated / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D004452:Echocardiography; D016027:Heart Transplantation / Q000401:mortality; D006439:Hemodynamics; D006801:Humans; D007423:Intra-Aortic Balloon Pumping; D011300:Preoperative Care; D012189:Retrospective Studies; D016896:Treatment Outcome