What question did this study set out to answer?

To review a 10-year clinical experience using a simplified left heart assist device designed to promote ventricular recovery and permit separation without re-entering the thorax.

February 1, 1985World Journal of Surgery

A decade of experience with a left heart assist device in patients undergoing open intracardiac operation

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Authors

RLRobert S. LitwakPepperdine University RKRobert M. KoffskyMount Sinai Medical Center RJRoy A. JuradoMount Sinai Hospital

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Implication

Clinical series reports successful weaning and long-term survival in open intracardiac surgery, indicating that partial circulatory support enables myocardial recovery.

Key Points

To review a 10-year clinical experience using a simplified left heart assist device designed to promote ventricular recovery and permit separation without re-entering the thorax.
Evaluated 27 patients undergoing open intracardiac surgery supported by a left heart assist device.
The system utilized silicone elastomer cannulas and a roller or continuous-flow pump to divert blood from the left atrium to the ascending aorta.
Device separation was accomplished by permanently occluding the cannula lumens with obturators, leaving biocompatible cannulas in situ without thoracic re-entry.
Device separation was successfully achieved in 18 of 27 patients (66.7%).
Hospital discharge occurred in 9 patients (33.3% overall; 50.0% of separated patients).
Seven patients remain alive and well, with the longest survival exceeding 10 years postoperatively.

Cite This Study

Litwak et al. (1985) studied this question.

synapsesocial.com/papers/6a9867730f8e6fa3952b8ea2 https://doi.org/10.1007/bf01656252

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Implication

Clinical series reports successful weaning and long-term survival in open intracardiac surgery, indicating that partial circulatory support enables myocardial recovery.

A decade of experience with a left heart assist device in patients undergoing open intracardiac operation

Discussion

Member takes

Implication

Key Points

Cite This Study

A decade of experience with a left heart assist device in patients undergoing open intracardiac operation

Discussion

Member takes

Implication

Key Points

Cite This Study

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