Complete mechanical circulatory support using ventricular assist devices for post-cardiotomy biventricular failure.
Cardiopulmonary bypass (CPB) allows operations on the heart in a motionless and bloodless field while reducing cardiac workload and sustaining systemic and coronary perfusion. Failure to wean from CPB remains a significant problem. Results from recent large registry data have shown dramatic improvement in the survival following ventricular assistance for post cardiotomy failure if instituted early. We show how post-cardiotomy heart failure can be successfully treated by proactive use of biventricular assist devices (BIVAD).
Nwaejike
Nnamdi
N
Department of Vascular and Endovascular Surgery, Barts and The London NHS Trust, The Royal London Hospital, London E1 1BB, UK.
Bonde
Pramod
P
Campalani
Gianfranco
G
D000368:Aged; D001243:Assisted Circulation; D006348:Cardiac Surgical Procedures; D006333:Heart Failure / Q000628:therapy*; D006353:Heart-Assist Devices; D006801:Humans; D008297:Male; D011183:Postoperative Complications; D013318:Stroke Volume; D013997:Time Factors