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- W2064130997 abstract "A major challenge since the earliest days of cardiac surgery has been the successful treatment of the patient with refractory post-operative cardiac failure. Severe failure after cardiac operations occurs in 5–10% of cases in published reviews (Myers et al, 1981). Many factors, such as improved surgical techniques, better methods of myocardial preservation, the use of inotropic and vasodilator drugs and latterly intra-aortic balloon counterpulsation (IA-BP), have increased the survival rate of patients in this category. A percentage of patients remain unresponsive to these interventions succumbing to the vicious cycle of falling cardiac output and systolic pressures, resulting in poor left atrial filling with pulmonary congestion and subsequent death. Since the 1950s work has been done to find the means to assist the heart in physically pumping blood round the body rather than supporting the failing myocardium as do IABP counterpulsation and pharmacological interventions." @default.
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- W2064130997 date "1987-01-01" @default.
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- W2064130997 title "The left ventricular assist device (LVAD) in refractory heart failure; one year's experience in Edinburgh" @default.
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- W2064130997 doi "https://doi.org/10.1016/0266-612x(87)90076-9" @default.
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