Postcardiotomy Right Ventricular Failure: Experience with Pulmonary Arterial Balloon Counterpulsation and Pulmonary Arterial Venting

AUTOR(ES)
RESUMO

From 1981 through 1985, 3,057 patients underwent cardiac operations using cardiopulmonary bypass (CPB) at our institution. When we reviewed these cases, we found that in ten cases (0.32%) right ventricular or biventricular failure had prevented weaning from CPB. All ten patients were also refractory to pharmacologic intervention and to systemic intraaortic balloon pumping. Two patients had isolated right ventricular failure, and the other eight had biventricular failure. Four patients had had previous pulmonary hypertension.

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