PMID- 3370173
OWN - NLM
STAT- MEDLINE
DCOM- 19880705
LR  - 20191029
IS  - 0889-7190 (Print)
IS  - 0889-7190 (Linking)
VI  - 34
IP  - 2
DP  - 1988 Apr-Jun
TI  - Long-term follow-up of survivors of postcardiotomy circulatory support.
PG  - 116-24
AB  - Although it is now possible to obtain, with mechanical circulatory support 
      devices, survival of postcardiotomy patients who develop profound cardiogenic 
      shock, their long-term functional status has not been firmly established. We 
      studied 22 patients who survived cardiac operations by the use of circulatory 
      support devices. Their ages ranged from 3 days to 69 years at the time of device 
      support. Operations performed were coronary artery bypass (9 pts), valve 
      replacement (4 pts), congenital defect correction (8 pts), and cardiac 
      transplantation (1 pt). Ten patients were supported with a Pierce-Donachy 
      ventricular assist device (VAD) (left 4, right 3, both 3), nine with 
      extracorporeal membrane oxygenation (ECMO), and three with centrifugal pumps 
      (left 2, both 1). Duration of support ranged from 22 to 189 hours (mean 84.4). 
      There were four late deaths; two of the deaths were cardiac-related within 6 
      months and two were due to cancer at 46 and 53 months following discharge. The 
      remaining 18 survivors were followed for 6 to 74 months (mean 29.9). Prior to 
      operation three of the patients were New York Heart Association (NYHA) Class I, 
      eight were Class II, six patients were Class III, and five were Class IV. 
      Following discharge from the hospital 13 patients were Class I, two were Class 
      II, and three were Class III; no patients were Class IV. Five patients work 
      full-time, three are retired without limitation, four attend school, and three 
      are pre-school. Only three patients suffer from moderate cardiac disability. 
      These data suggest that patients surviving mechanical circulatory assistance for 
      postoperative cardiogenic shock have an excellent chance for functional recovery.
FAU - Ruzevich, S A
AU  - Ruzevich SA
AD  - Department of Surgery, St. Louis University Medical Center, Missouri.
FAU - Kanter, K R
AU  - Kanter KR
FAU - Pennington, D G
AU  - Pennington DG
FAU - Swartz, M T
AU  - Swartz MT
FAU - McBride, L R
AU  - McBride LR
FAU - Termuhlen, D F
AU  - Termuhlen DF
LA  - eng
PT  - Journal Article
PL  - United States
TA  - ASAIO Trans
JT  - ASAIO transactions
JID - 8611947
SB  - IM
MH  - *Assisted Circulation
MH  - *Cardiac Surgical Procedures/adverse effects
MH  - Female
MH  - Follow-Up Studies
MH  - *Heart-Assist Devices
MH  - Humans
MH  - Oxygenators, Membrane
MH  - Prognosis
MH  - Shock, Cardiogenic/etiology/therapy
MH  - Time Factors
EDAT- 1988/04/01 00:00
MHDA- 1988/04/01 00:01
CRDT- 1988/04/01 00:00
PHST- 1988/04/01 00:00 [pubmed]
PHST- 1988/04/01 00:01 [medline]
PHST- 1988/04/01 00:00 [entrez]
AID - 10.1097/00002480-198804000-00008 [doi]
PST - ppublish
SO  - ASAIO Trans. 1988 Apr-Jun;34(2):116-24. doi: 10.1097/00002480-198804000-00008.