ICVTS Click here for other ICVTS advertising opportunities
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

Interact CardioVasc Thorac Surg 2008;7:651-653. doi:10.1510/icvts.2008.180620
© 2008 European Association of Cardio-Thoracic Surgery
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Niloo M. Edwards
Takushi Kohmoto
Right arrow Permission Requests
Google Scholar
Right arrow Articles by Osaki, S.
Right arrow Articles by Kohmoto, T.
PubMed
Right arrow PubMed Citation
Right arrow Articles by Osaki, S.
Right arrow Articles by Kohmoto, T.
Related Collections
Right arrow Mechanical Circulatory Assistance

Proposal for bail-out procedures - Assisted circulation

A novel use of the implantable ventricular assist device for isolated right heart failure

Satoru Osakia,*, Niloo M. Edwardsa, Maryl R. Johnsonb and Takushi Kohmotoa

a Division of Cardiothoracic Surgery, University of Wisconsin School of Medicine and Public Health, 600 Highland Avenue, Madison, WI 53792-3236, USA
b Division of Cardiology, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA

*Corresponding author. Tel.: +1-608-263-4071; fax: +1-608-263-0547.

E-mail address: osaki{at}surgery.wisc.edu (S. Osaki).

Isolated right heart failure after cardiac surgery is uncommon and the prognosis remains poor. Additionally, managements for these patients are difficult. Profound postcardiotomy right heart failure developed in a 45-year-old woman after aortic root replacement for critical aortic stenosis with small aortic root. Although maximum medical therapy, intraaortic balloon counterpulsation and extracorporeal membrane oxygenator were attempted, severe right heart failure remained. Finally, an implantable right ventricular assist device (RVAD) was utilized because an immediate myocardial recovery was unlikely. The patient was discharged from the hospital at 17 days after the RVAD implantation. After 79 days of support, right ventricular function had recovered, the fully rehabilitated patient was successfully weaned from the RVAD, and the RVAD was explanted. The patient has no recurrence of heart failure 668 days after RVAD explantation.

Key Words: Heart-assist device; Right-sided heart failure; Remodeling

HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 2008 European Association for Cardio-thoracic Surgery