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Case Reports
Pulmonary artery balloon counterpulsation for intraoperative right ventricular failure.
- P D Skillington, G S Couper, P S Peigh, D Fitzgerald, and L H Cohn.
- Department of Surgery, Brigham and Women's Hospital, Boston, MA 02115.
- Ann. Thorac. Surg. 1991 Apr 1; 51 (4): 658-60.
AbstractTwo cases of severe low cardiac output and right ventricular failure after coronary artery bypass grafting necessitated pulmonary artery balloon counterpulsation after intraaortic balloon pumping and maximal inotropic/pressor support were unsuccessful in maintaining a satisfactory cardiac output. Hemodynamic improvement was sufficient to allow removal of the device 2 and 3 days postoperatively, with survival in 1 patient. Pulmonary artery counterpulsation is less morbid in comparison with other mechanical methods of right ventricular support and is applicable in right ventricular failure of intermediate severity.
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