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Ann Thorac Surg 1980;29:522-528
© 1980 The Society of Thoracic Surgeons

Articles

Intraaortic Balloon Pumping in Children

J.C. Pollock, F.R.C.S.(G)*, M.C. Charlton, R.N., W.G. Williams, F.R.C.S.(C), J.F. Edmonds, F.R.C.P.(C), G.A. Trusler, F.R.C.S.(C)

Divisions of Cardiovascular Surgery and Intensive Care, the Hospital for Sick Children, Toronto, Ont, Canada

Accepted for publication December 6, 1979.

* Address reprint requests to Dr. Williams, Division of Cardiovascular Surgery, The Hospital for Sick Children, 555 University Ave, Toronto, Ont, Canada

From June, 1977, to December, 1978, 14 children had intraaortic balloon support after open-heart operation. There were 6 long-term survivors. Four of 5 children more than 10 years old and 2 of 5 children between 5 and 10 years old survived. All 4 children less than 5 years old died. In the youngest group, it was difficult to use the balloon successfully because of their very low cardiac output coming off bypass and their greater aortic elasticity. The smallest sizes of balloon available were found to be too long, extending well below the diaphragm in younger patients. In 7 out of 10 patients 5 years old or more, augmentation was obtained.




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