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Mechanical circulatory support in pediatric age: Experience of Bergamo

  • M. Glauber
  • P. Ferrazzi
Conference paper

Abstract

Postcardiotomy ventricular failure is a potentially clinical reversible condition where recovery of myocardial function (3, 11, 12, 17) is generally attempted with pharmacological treatment. However, when full inotropic and vasodilator support fails to restore a satisfactory cardiac output, some type of mechanical support becomes lifesaving. Extra-Corporeal Membrane Oxygenator (ECMO) which has provided excellent results in the management of respiratory failure (1, 2, 7, 9) has also been employed in the treatment of postcardiotomy cardiogenic shock in children (3, 8, 17, 18, 21, 23). In this setting the use of a Mono- or Bi-Ventricular Assist Device (BVAD) might have the theoretical advantage to avoid, when possible, the use of an oxygenator.

Keywords

Left Ventricular Assist Device Centrifugal Pump Extracorporeal Membrane Oxygenation Circulatory Support Mechanical Circulatory Support 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Dr. Dietrich Steinkopff Verlag GmbH & Co. KG, Darmstadt 1997

Authors and Affiliations

  • M. Glauber
    • 1
  • P. Ferrazzi
    • 1
  1. 1.Department of Cardiac SurgeryBergamoItaly

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