Mechanical circulatory assistance for postoperative cardiogenic shock: a three year experience.

W. E. Pae, G. Rosenberg, J. H. Donachy, D. L. Landis, W. M. Phillips, G. V. Parr, G. A. Prophet, W. S. Pierce

Research output: Contribution to journalArticle

25 Citations (Scopus)

Abstract

Retrospective analysis of 14 patients undergoing circulatory support for postcardiotomy cardiogenic shock during the past 3 yrs has demonstrated the ability of the profoundly depressed myocardium to recover. Four patients were totally weaned from circulatory support and 2 are long-term survivors. Our results suggest that improved survival is dependent on the absence of certain peri-operative complications. To improve future clinical results we suggest that prompt application of assist pumping is necessary to eliminate prolonged cardiopulmonary bypass times and subsequent massive bleeding; those circulatory support systems requiring systemic anticoagulation are of no value in the treatment of postcardiotomy cardiogenic shock; the use of atrial cannulation may be advantageous in certain patients to eliminate critical inflow obstruction, further prolongation of cardiopulmonary bypass, and additional myocardial damage; and that the high incidence of right ventricular failure that is refractory to medical therapy makes the ability to support both ventricles mandatory.

Original languageEnglish (US)
Pages (from-to)256-261
Number of pages6
JournalTransactions - American Society for Artificial Internal Organs
Volume26
StatePublished - Dec 1 1980

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Cardiogenic Shock
Refractory materials
Cardiopulmonary Bypass
Cardiovascular System
Catheterization
Survivors
Myocardium
Hemorrhage
Survival
Incidence
Therapeutics

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Pae, W. E. ; Rosenberg, G. ; Donachy, J. H. ; Landis, D. L. ; Phillips, W. M. ; Parr, G. V. ; Prophet, G. A. ; Pierce, W. S. / Mechanical circulatory assistance for postoperative cardiogenic shock : a three year experience. In: Transactions - American Society for Artificial Internal Organs. 1980 ; Vol. 26. pp. 256-261.
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Mechanical circulatory assistance for postoperative cardiogenic shock : a three year experience. / Pae, W. E.; Rosenberg, G.; Donachy, J. H.; Landis, D. L.; Phillips, W. M.; Parr, G. V.; Prophet, G. A.; Pierce, W. S.

In: Transactions - American Society for Artificial Internal Organs, Vol. 26, 01.12.1980, p. 256-261.

Research output: Contribution to journalArticle

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AU - Pae, W. E.

AU - Rosenberg, G.

AU - Donachy, J. H.

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AU - Pierce, W. S.

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AB - Retrospective analysis of 14 patients undergoing circulatory support for postcardiotomy cardiogenic shock during the past 3 yrs has demonstrated the ability of the profoundly depressed myocardium to recover. Four patients were totally weaned from circulatory support and 2 are long-term survivors. Our results suggest that improved survival is dependent on the absence of certain peri-operative complications. To improve future clinical results we suggest that prompt application of assist pumping is necessary to eliminate prolonged cardiopulmonary bypass times and subsequent massive bleeding; those circulatory support systems requiring systemic anticoagulation are of no value in the treatment of postcardiotomy cardiogenic shock; the use of atrial cannulation may be advantageous in certain patients to eliminate critical inflow obstruction, further prolongation of cardiopulmonary bypass, and additional myocardial damage; and that the high incidence of right ventricular failure that is refractory to medical therapy makes the ability to support both ventricles mandatory.

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