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The Annals of Thoracic Surgery, Vol 51, 658-660, Copyright © 1991 by The Society of Thoracic Surgeons

ARTICLES

Pulmonary artery balloon counterpulsation for intraoperative right ventricular failure

PD Skillington, GS Couper, PS Peigh, D Fitzgerald and LH Cohn
Department of Surgery, Brigham and Women's Hospital, Boston, MA 02115.

Two cases of severe low cardiac output and right ventricular failure after coronary artery bypass grafting necessitated pulmonary artery balloon counterpulsation after intraaortic balloon pumping and maximal inotropic/pressor support were unsuccessful in maintaining a satisfactory cardiac output. Hemodynamic improvement was sufficient to allow removal of the device 2 and 3 days postoperatively, with survival in 1 patient. Pulmonary artery counterpulsation is less morbid in comparison with other mechanical methods of right ventricular support and is applicable in right ventricular failure of intermediate severity.




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Copyright © 1991 by The Society of Thoracic Surgeons.