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Ann Thorac Surg 1993;55:529-531
© 1993 The Society of Thoracic Surgeons

Articles

Postcardiotomy LVAD support and transesophageal echocardiography in a child

Scott A. Scheinin, MDa,b, Branislav Radovancevic, MDa,b, David A. Ott, MD*,a,b, Michael R. Nihill, MDa,b, Allison Cabalka, MDa,b, O.H. Frazier, MDa,b

a Department of Cardiovascular Surgery, Texas Heart Institute USA
b Department of Pediatric Cardiology, Texas Children's Hospital, Houston, Texas USA

Accepted for publication May 4, 1992.

* Address reprint requests to Dr Ott, Texas Heart Institute, PO Box 20345, Houston, TX 77225-0345.

A case of postcardiotomy cardiogenic shock after repair of a congenital ventricular septal defect in a 5-year-old boy is reported. Mechanical circulatory support, instituted with a centrifugal left ventricular assist device, adequately supported the patient for 50 hours until recovery of native left ventricular function occurred. Transesophageal echocardiography proved to be useful in assessment of left ventricular function, allowing for timely institution and withdrawal of mechanical circulatory support.




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