0
ARTICLE |

Successful Use of a Paracorporeal Left Ventricular Assist Device in Man FREE

Robert L. Berger, MD; John R. McCormick, MD; Joseph D. Stetz, MD; Michael D. Klein, MD; Thomas J. Ryan, MD; James Carr; Stephen Sweet, MD; William F. Bernhard, MD
[+] Author Affiliations

Reprint requests to Department of Cardiothoracic Surgery, University Hospital, 75 E Newton St, Boston, MA 02118 (Dr Berger).


JAMA. 1980;243(1):46-49. doi:10.1001/jama.1980.03300270034026
Text Size: A A A
Published online

A paracorporeal left ventricular assist device (LVAD) with a capacity to pump 8 L/min of blood was employed in a clinical trial, and this report details the first survivor. A 60-year-old man could not be separated from the pump oxygenator following coronary artery bypass grafting, and, therefore, an LVAD was employed. Almost the entire left ventricular workload was assumed by the mechanical pump so that the myocardium was allowed to rest and recover. The LVAD support was continued for 105 hours. It provided satisfactory total body perfusion with maintenance of good hemodynamics—without serious deleterious effects on hematologic factors. The patient is alive and active without cardiac symptoms 16 months after his operation. The total experience with 13 LVAD implantations warrants continuation of the clinical trials in selected patients.

(JAMA 243:46-49, 1980)

REFERENCES

Berger RL, Saini VK, Ryan TJ, et al:  Intraaortic balloon assist for post-cardiotomy cardiogenic shock . J Thorac Cardiovasc Surg 66:906-915, 1973;.
Norman JC, Cooley DA, Igo SR, et al:  Prognostic indices for survival during postcardiotomy intra-aortic balloon pumping . J Thorac Cardiovasc Surg 74:709-720, 1977;.
Bernhard WF, Robinson T, Yun I, et al:  An improved blood-pump interface for left ventricular bypass . Ann Surg 168:750-764, 1968;.
Bernhard WF, Poirier V, LaFarge CG:  A new method for temporary left ventricular bypass . J Thorac Cardiovasc Surg 70:880-895, 1975;.
Bernhard WF, LaFarge CG, Jockin H, et al:  Chronic left ventricular bypass with an implantable ventricular-aortic assist pump . Circulation 39( (suppl) ):99-103, 1969;.
Norman JC, Fugue JM, Hibbs DW, et al:  An intracorporeal (abdominal) left ventricular assist device . Arch Surg 112:1442-1451, 1977;.
Bernhard WF, LaFarge CG, Berger RL, et al:  An appraisal of blood trauma and the blood-prosthetic interface during left ventricular bypass in the calf and man . Ann Thorac Surg 26:427-437, 1978;.
Radvany P, Weintraub R, Bernhard WF, et al:  Mechanical circulatory support in postoperative cardiogenic shock . J Thorac Cardiovasc Surg 75:97-103, 1977;.
LaFarge CG, Carr JG, Bernhard WF:  The maintenance of circulatory competence during chronic myocardial failure . J Thorac Cardiovasc Surg 64:652-658, 1972;.
Bernhard WF, Berger RL, Carr JG, et al:  Temporary left ventricular bypass: Factors affecting patient survival . Circulation 60( (suppl) ):131-141, 1979;.

Figures

Tables

Interactive Graphics

Video

Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

Berger RL, Saini VK, Ryan TJ, et al:  Intraaortic balloon assist for post-cardiotomy cardiogenic shock . J Thorac Cardiovasc Surg 66:906-915, 1973;.
Norman JC, Cooley DA, Igo SR, et al:  Prognostic indices for survival during postcardiotomy intra-aortic balloon pumping . J Thorac Cardiovasc Surg 74:709-720, 1977;.
Bernhard WF, Robinson T, Yun I, et al:  An improved blood-pump interface for left ventricular bypass . Ann Surg 168:750-764, 1968;.
Bernhard WF, Poirier V, LaFarge CG:  A new method for temporary left ventricular bypass . J Thorac Cardiovasc Surg 70:880-895, 1975;.
Bernhard WF, LaFarge CG, Jockin H, et al:  Chronic left ventricular bypass with an implantable ventricular-aortic assist pump . Circulation 39( (suppl) ):99-103, 1969;.
Norman JC, Fugue JM, Hibbs DW, et al:  An intracorporeal (abdominal) left ventricular assist device . Arch Surg 112:1442-1451, 1977;.
Bernhard WF, LaFarge CG, Berger RL, et al:  An appraisal of blood trauma and the blood-prosthetic interface during left ventricular bypass in the calf and man . Ann Thorac Surg 26:427-437, 1978;.
Radvany P, Weintraub R, Bernhard WF, et al:  Mechanical circulatory support in postoperative cardiogenic shock . J Thorac Cardiovasc Surg 75:97-103, 1977;.
LaFarge CG, Carr JG, Bernhard WF:  The maintenance of circulatory competence during chronic myocardial failure . J Thorac Cardiovasc Surg 64:652-658, 1972;.
Bernhard WF, Berger RL, Carr JG, et al:  Temporary left ventricular bypass: Factors affecting patient survival . Circulation 60( (suppl) ):131-141, 1979;.
CME Course for:


You need to register in order to view this quiz.


To understand the clinical management of acute heart failure syndromes.
Accreditation Information The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
To view and print your certificate and access a summary of your CME courses go to My CME.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s “Cited By” API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Response

Some tools below are only available to our subscribers or users with an online account.

Related Content

Customize your page view by dragging & repositioning the boxes below.