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Ann Thorac Surg 1988;46:106-107
© 1988 The Society of Thoracic Surgeons

Articles

A Rapid Method for Determining the Need for Mechanical Support of the Right Ventricle

Martin J. O'Neill, Jr., M.D.*, Ann Marie Chrostowski, C.C.P., Lynn H. Harrison, Jr., M.D.

Department of Surgery, West Jefferson Medical Center, Marrero, LA

Accepted for publication January 23, 1988.

* Address reprint requests to Dr. O'Neill, 1111 Avenue D, Suite 606, Marrero, LA 70072

Right ventricular failure following cardiac surgery must be rapidly diagnosed and treated to minimize injury to the heart. Switching from aortic to pulmonary artery perfusion during cardiopulmonary bypass is a method of rapidly testing the adequacy of right ventricular function and supporting the ventricle if necessary. A centrifugal pump has been used for long-term support for two cases managed in this manner.




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