Postcardiotomy extracorporeal life support.
The need for postcardiotomy mechanical support is uncommon and likely to decline. A mixture of options is necessary to meet the diverse indications for cardiac support in a comprehensive heart failure program. Between January 1997 and December 2000, 29 adult, neonate, and infant cardiac surgical patients were supported on an extracorporeal life support system. Indications for cardiac assist included post-cardiotomy low cardiac output syndrome, and hyperacute rejection after cardiac transplantation. Data for analysis were collected prospectively. Survival on the life support system was 20/29 (69%) and 12 patients (41%) survived to discharge. The mean time to starting extracorporeal life support was longer in survivors than non-survivors. The extracorporeal life support system provides effective cardiopulmonary and end-organ support.
Kazaz
Hakki
H
Gaziantep University School of Medicine, Cardiovascular Surgery Department, Universite bul. Kilis yolu, Sahinbey, Gaziantep, Turkey. hakki@kazaz.info
Hazan
Eyup
E
Oto
Oztekin
O
Sariosmanoğlu
Nejat
N
Dereli
Nuran A
NA
D000293:Adolescent; D000328:Adult; D006348:Cardiac Surgical Procedures / Q000009:adverse effects*; D002318:Cardiovascular Diseases / Q000601:surgery; D002648:Child; D002675:Child, Preschool; D005112:Extracorporeal Circulation; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008020:Life Support Care; D008297:Male; D008875:Middle Aged; D011182:Postoperative Care; D011183:Postoperative Complications / Q000209:etiology / Q000628:therapy