BACKGROUND: Over the past decade, the use of mechanical circulatory support in @entity1 with postcardiotomy @entity1455 has resulted in hospital discharge rates of 25% to 40%. In an attempt to improve @entity1 survival, we initiated a program of early insertion of an implantable Thermocardiosystems Incorporated Heartmate left ventricular assist device in @entity1 who have @entity1457 after having undergone high-risk cardiac operations. METHODS: Between April 1993 and February 1997, 12 @entity1 underwent insertion of an implantable left ventricular assist device for postcardiotomy @entity1455 after coronary artery bypass grafting. Indications for insertion included postoperative @entity1455 (7 @entity1 ), postoperative @entity1167 (3 @entity1 ), and failure to wean from cardiopulmonary bypass (2 @entity1 ). RESULTS: The median time to device insertion was 3.5 days. The mean duration of left ventricular assist device support was 103 +/- 19 days (range, 2 to 225 days). Nine of 11 @entity1 (82%) survived to undergo either transplantation (8 @entity1 ) or explantation (1 @entity1 ), with successful hospital discharge of all 9 @entity1 . The major complication was @entity281 (42%). A single @entity1031 occurred in a @entity1 with an @entity281 . CONCLUSIONS: Long-term outcome after postcardiotomy @entity1455 is improved substantially with the use of an implantable left ventricular assist device early in the postoperative course. Access to such a device is an important consideration before undertaking a high-risk cardiac operation, and early implantation of the device is a critical factor in ensuring long-term survival.

Improved results for postcardiotomy XXXX with the use of implantable left ventricular assist devices.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity1457 :: ('MESH:D012769', 'Disease') :: ['circulatory failure'] @entity281 :: ('MESH:D007239', 'Disease') :: ['device-related infection', 'infection'] @entity1031 :: ('MESH:D013923', 'Disease') :: ['thromboembolism'] @entity1167 :: ('MESH:D006323', 'Disease') :: ['cardiac arrest'] @entity1455 :: ('MESH:D012770', 'Disease') :: ['cardiogenic shock']
@entity1455 :: (MESH:D012770,Disease) :: ['cardiogenic shock']
