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Postcardiotomy Extracorporeal Life Support

Hakki Kazaz, MD, Eyup Hazan, MD¹, Öztekin Oto, MD¹, Nejat Sariosmanolu, MD¹, Nuran A Dereli, PhD¹

Gaziantep University School of Medicine, Department of Cardiovascular Surgery, Gaziantep, Turkey
¹ Dokuz Eyliil University School of Medicine, Department of Thoracic and Cardiovascular Surgery zmir, Turkey

For reprint information contact: Hakki Kazaz, MD Tel: 90 342 360 1126 Fax: 90 342 360 1126 Email: hakki{at}kazaz.info, Gaziantep University School of Medicine, Cardiovascular Surgery Dept., Universite bul. Kilis yolu, ahinbey, Gaziantep, Turkey.

The need for postcardiotomy mechanical support is uncommon and likely to decline. A mixture of options is necessary to meet the diverse indications for cardiac support in a comprehensive heart failure program. Between January 1997 and December 2000, 29 adult, neonate, and infant cardiac surgical patients were supported on an extracorporeal life support system. Indications for cardiac assist included post-cardiotomy low cardiac output syndrome, and hyperacute rejection after cardiac transplantation. Data for analysis were collected prospectively. Survival on the life support system was 20/29 (69%) and 12 patients (41%) survived to discharge. The mean time to starting extracorporeal life support was longer in survivors than non-survivors. The extracorporeal life support system provides effective cardiopulmonary and end-organ support.