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The Journal of Thoracic and Cardiovascular Surgery, Vol 91, 518-525, Copyright © 1986 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
WP Dembitsky, PO Daily, AA Raney, WY Moores and CI Joyo
Six patients having severe right ventricular failure after cardiac surgical
procedures were treated temporarily with an extracorporeal pump to bypass
the right ventricle. The initial operative procedures included coronary
artery bypass procedures with and without concomitant valvular and aortic
replacement. A Biomedicus centrifugal pump was used as the right
ventricular assist device in most cases. The assist period ranged from 3 to
96 hours, and an intra-aortic balloon pump was used in five of the six
patients. All patients initially responded to the right ventricular assist
device, four were successfully weaned, and one patient is a long-term
survivor. The use of a right ventricular assist device is not difficult or
complicated and can be lifesaving for those patients having potentially
reversible profound right ventricular failure.
ARTICLES
Temporary extracorporeal support of the right ventricle
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