Abstract
This monograph documents the experimental and clinical efforts of Dr. Kennedy and his associates at the Cleveland Metropolitan General Hospital in the field of mechanical assistance in managing intractable heart-failure. In contrast to other current projects utilizing specific devices for this, Dr. Kennedy's work is concerned with support of the failing heart, utilizing readily available equipment normally employed for cardiopulmonary bypass. An appropriate forward has been written by Dr. John Gibbon, and the first portion of the book deals with the history of assisted circulation. Experimental and physiological considerations of various methods of extracorporeal circulatory support are reviewed. The authors outline their criteria for selecting patients for treatment by mechanical assistance in both right and left heart-failure. The necessity for serial hemodynamic observations is emphasized in order to make a decision for or against mechanical assistance. The clinical experiences of this group are reported in detail on 13 patients who
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