Use of an Intrapericardial Continuous Flow Ventricular Assist Device in a 4-Year-Old Child Weighing 12 Kilograms

Authors

  • Korhan Erkanlı Department of Cardiovascular Surgery, Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul
  • Mehmet Kaya Department of Cardiovascular Surgery, Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul
  • Murat Avşar Department of Cardiothoracic, Transplantation and Vascular Surgery, Hannover Medical School, Hannover
  • İhsan Bakır Department of Cardiovascular Surgery, Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul

DOI:

https://doi.org/10.1532/hsf.1425

Abstract

Ventricular assist devices are implanted in patients with intractable heart failure as a bridge to cardiac transplantation to support the circulatory system mechanically. We present a report of a continuous flow ventricular assist device successfully placed as a bridge to transplantation in the intrapericardium of a petite-sized child with a BSA of 0.56 m2. Not only is the use of an intrapericardial, continuous-flow, centrifugal pump feasible for destination therapy, but also for low-weight pediatric patients with end-stage heart failure as a bridge to transplantation when there is chronic shortage of donor organs for heart transplantation. Consequently, the HeartWare system has been implanted in smaller patients with acceptable results, and this patient may be the youngest ever reported.

References

Cabrera AG, Khan MS, Morales DL, et al. 2013. Infectious complications and outcomes in children supported with left ventricular assist devices. J Heart Lung Transplant 32:518-24.

Miera O, Potapov EV, Redlin M, et al. 2011. First experiences with the HeartWare ventricular assist system in children. Ann Thorac Surg 91:1256-60.

Padalino MA, Bottio T, Tarzia V, et al. 2014. HeartWare ventricular assist device as bridge to transplant in children and adolescents. Artif Organs 38:418-22.

Published

2016-04-11

How to Cite

Erkanlı, K., Kaya, M., Avşar, M., & Bakır, İhsan. (2016). Use of an Intrapericardial Continuous Flow Ventricular Assist Device in a 4-Year-Old Child Weighing 12 Kilograms. The Heart Surgery Forum, 19(2), E086-E087. https://doi.org/10.1532/hsf.1425

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