Mechanical circulatory support in pediatric age: Experience of Bergamo
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.
KeywordsDopamine Aspirin Heparin Cardiomyopathy Adrenaline
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