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Ann Thorac Surg 2004;77:1431-1433
© 2004 The Society of Thoracic Surgeons

Case report

Temporary assist device for postcardiotomy cardiac failure

Antonis A. Pitsis, MD, FETCSa, Petros Dardas, MD, FESCa, Nikolaos Mezilis, MD, FESCa, Nikolaos Nikoloudakis, MDa*, Gerasimos Filippatos, MD, FESCb, Daniel Burkhoff, MD, PhDc

a Thessaloniki Heart Institute, St. Luke's Hospital, Thessaloniki, Greece
b Evangelismos General Hospital, Athens, Greece
c Columbia University, New York, New York, USA

Accepted for publication April 18, 2003.

* Address reprint requests to Dr Nikoloudakis, Thessaloniki Heart Institute, Ermou St 69, Thessaloniki, Greece
e-mail: nik_nik{at}freenet.de

Postcardiotomy left ventricular failure (LVF) complicating a cardiac surgical procedure is usually managed with intraaortic balloon pump (IABP) counterpulsation. We report two cases of postcardiotomy LVF unresponsive to inotropic support and IABP counterpulsation that were managed successfully with the use of the TandemHeart percutaneous ventricular assist device (pVAD) (CardiacAssist, Pittsburgh, PA). The TandemHeart pVAD appears to be safe and effective as a bridge to recovery in the treatment of postcardiotomy cardiac failure.




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