Use of ventricular assist devices in patients with postcardiotomy shock.

T. Murakami, K. Ishino, H. Nakayama, K. Kino, Sadahiko Arai, Y. Nakayama, E. Sugawara, Y. Senoo, S. Teramoto

Research output: Contribution to journalArticle

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Abstract

Over the last three years, we have used ventricular assist devices (VAD) in 7 patients. Of these 7, four patients with combined aortic and mitral valvular disease underwent double valve replacement; one patient with annuloaortic ectasia underwent a Cabrol's operation; another had aortic valve replacement; the last patient had triple coronary artery bypass grafts. The only patient who could be weaned from CPB developed cardiogenic shock after the operation. LVADs supported 6 patients for 4 to 8 days and a BVAD supported one patient for 9 days. All patients survived the weaning procedure. Three were discharged from the hospital and survived 7 to 21 months. The 4 other patients died of multiple organ failure. Three of these four suffered from both renal failure and infection, while one patient had arrhythmia and died of ileus. These data suggest that renal failure and major infection can be serious detrimental complications to VAD support.

Original languageEnglish
Pages (from-to)433-440
Number of pages8
JournalActa Medica Okayama
Volume45
Issue number6
Publication statusPublished - Dec 1991

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Heart-Assist Devices
Grafts
Shock
Renal Insufficiency
Cardiogenic Shock
Multiple Organ Failure
Ileus
Infection
Weaning
Aortic Valve
Coronary Artery Bypass
Cardiac Arrhythmias
Transplants

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)
  • Medicine(all)

Cite this

Murakami, T., Ishino, K., Nakayama, H., Kino, K., Arai, S., Nakayama, Y., ... Teramoto, S. (1991). Use of ventricular assist devices in patients with postcardiotomy shock. Acta Medica Okayama, 45(6), 433-440.

Use of ventricular assist devices in patients with postcardiotomy shock. / Murakami, T.; Ishino, K.; Nakayama, H.; Kino, K.; Arai, Sadahiko; Nakayama, Y.; Sugawara, E.; Senoo, Y.; Teramoto, S.

In: Acta Medica Okayama, Vol. 45, No. 6, 12.1991, p. 433-440.

Research output: Contribution to journalArticle

Murakami, T, Ishino, K, Nakayama, H, Kino, K, Arai, S, Nakayama, Y, Sugawara, E, Senoo, Y & Teramoto, S 1991, 'Use of ventricular assist devices in patients with postcardiotomy shock.', Acta Medica Okayama, vol. 45, no. 6, pp. 433-440.
Murakami T, Ishino K, Nakayama H, Kino K, Arai S, Nakayama Y et al. Use of ventricular assist devices in patients with postcardiotomy shock. Acta Medica Okayama. 1991 Dec;45(6):433-440.
Murakami, T. ; Ishino, K. ; Nakayama, H. ; Kino, K. ; Arai, Sadahiko ; Nakayama, Y. ; Sugawara, E. ; Senoo, Y. ; Teramoto, S. / Use of ventricular assist devices in patients with postcardiotomy shock. In: Acta Medica Okayama. 1991 ; Vol. 45, No. 6. pp. 433-440.
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