The maintenance of circulatory competence during chronic microsphere-induced myocardial failure

Cg, LaFarge; Je, Carr; Coleman, Stephen; Wf, Bernhard

doi:10.1016/s0022-5223(19)39725-9

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1978

1982

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Cited by 13 publications

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Successful Use of a Paracorporeal Left Ventricular Assist Device in Man

Berger¹,

McCormick²,

Stetz³

et al. 1980

JAMA

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A paracorporeal left ventricular assist device (LVAD) with a capacity to pump 8 L/min of blood was employed in a clinical trial, and this report details the first survivor. A 60-year-old man could not be separated from the pump oxygenator following coronary artery bypass grafting, and, therefore, an LVAD was employed. Almost the entire left ventricular workload was assumed by the mechanical pump so that the myocardium was allowed to rest and recover. The LVAD support was continued for 105 hours. It provided satisfactory total body perfusion with maintenance of good hemodynamics--without serious deleterious effects on hematologic factors. The patient is alive and active without cardiac symptoms 16 months after his operation. The total experience with 13 LVAD implantations warrants continuation of the clinical trials in selected patients.

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