[HSF] RV failure management strategies

[prasannasimha]

That is something more practical for me though I wonder why I have never 
done it despite knowing about it (there is a graphic picture of it in 
both Taylors text book on CPB and in Glenn)!!
Mind block !!
I did not know that your case was the first successful report.Thanks for 
th information
Prasanna
Jbflegejr at aol.com wrote:
> I have used counterpulsation in the pulmonary artery a few times when RV 
> failure prevented weaning from CPB with several successes. This was described by 
> Craig Miller, and I reported the first successful  case in the ANNALS THORACIC 
> SURGERY 1984;37:167-68. a 20mm graft is sutured end to side on the main PA, 
> essentially a diverticulum, and the IAB inserted into the graft with the end in 
> the PA. I used this successfully in one case, acute Inferior MI with 
> biventricular failure, in conjunction with intra-aortic balloon (two pumps). Obviously 
> this can only provide assistance to the RV just like aortic counterpulsation 
> only provides assistance for the LV. In some patients assistance of either RV 
> or LV or both can mean survival from an otherwise fatal situation. John Flege
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