دورية أكاديمية
Routine mechanical ventricular assist following the Norwood procedure—improved neurologic outcome and excellent hospital survival.
العنوان: | Routine mechanical ventricular assist following the Norwood procedure—improved neurologic outcome and excellent hospital survival. |
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المؤلفون: | Ungerleider, Ross M., Shen, Irving, Yeh Jr, Thomas, Schultz, Jess, Butler, Robert, Silberbach, Michael, Giacomuzzi, Carmen, Heller, Eileen, Studenberg, Leanne, Mejak, Brian, You, Jamie, Farrel, Debbie, McClure, Scott, Austin, Erle H. |
المصدر: | Annals of Thoracic Surgery; Jan2004, Vol. 77 Issue 1, p18, 5p |
مصطلحات موضوعية: | HEART diseases, CARDIOPULMONARY bypass, CARDIOLOGY, SURGERY |
مستخلص: | : BackgroundAlthough excellent survival following the Norwood procedure for palliation of hypoplastic left heart syndrome (HLHS) is being achieved by some, most centers, especially the ones with small surgical volume and limited experience, continue to struggle with initial results. Survivors often showed evidence of significant neurologic injury. The early postoperative care is labor-intensive as attempts are made to balance the systemic and pulmonary circulation for these infants. We report our experience with routine use of mechanical circulatory assist to support the increased cardiac output requirements present following Norwood procedure.: MethodsEighteen consecutive infants undergoing Norwood operation for HLHS (Oregon Health & Science University [OHSU] 13; University of Louisville [UL] 5) were placed on a ventricular assist device (VAD) immediately following modified ultrafiltration in the operating room using the cardiopulmonary bypass (CPB) cannulas that were in the right atrium and the neoaorta. VAD flows were maintained at approximately 200 mL · kg−1 · min−1 and the patients were transported to the intensive care unit (ICU). Patients operated at OHSU also received neurodevelopmental testing before their Glenn procedure, approximately 4 to 6 months following their Norwood operation.: ResultsAll patients were stable on VAD support and no attempt was made to balance the systemic and pulmonary circulation. The ventilator was manipulated to achieve systemic Pa0 |
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قاعدة البيانات: | Supplemental Index |
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