Author/Editor | Chandra, D; Kar, B; Idelchik, G; Simpson, L; Loyalka, P; Gregoric, ID; Delgado, RM; Frazier, OH | |
Title | Usefulness of percutaneous left ventricular assist device as a bridge to recovery from myocarditis | |
Type | članek | |
Source | Am J Cardiol | |
Vol. and No. | Letnik 99, št. 12 | |
Publication year | 2007 | |
Volume | str. 1755-6 | |
Language | eng | |
Abstract | The TandemHeart percutaneous left ventricular assist device is a left atrial-to-femoral artery bypass system that can be implanted percutaneously within 30 minutes and provides active circulatory support. The TandemHeart has been used mainly for temporary hemodynamic assistance during high-risk coronary interventions and postcardiotomy heart failure. This report describes initial experience with this device as a successful bridge to cardiac recovery in 3 patients with acute myocarditis. All patients presented with severe cardiogenic shock (mean cardiac index 1.1 L/min/m2), and end-organ perfusion could not be maintained despite intra-aortic balloon counterpulsation and the maximal use of vasopressive agents. The patients were successfully bridged to myocardial recovery with the TandemHeart (mean duration of support 5 days, range 2 to 8). The only complication was a short episode of ventricular fibrillation during device placement in 1 patient, which did not result in any morbidity or mortality. All patients were discharged home (mean duration of stay 15 days). In conclusion, the TandemHeart proved to be a safe and effective bridge to myocardial recovery in these patients with acute myocarditis. | |
Descriptors | HEART-ASSIST DEVICES ADULT MYOCARDITIS |