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Biventricular support with HeartWare ventricular assist device in a pediatric patient

Shriprasad R Deshpande1, Mallory M Carroll2, Chad Mao1

  • 1Department of Pediatrics, Pediatric Cardiology Division, Emory University School of Medicine, Sibley Heart Center Cardiology, Children's Healthcare of Atlanta, Atlanta, GA, USA.

Pediatric Transplantation
|December 3, 2017
PubMed

Insights

Continuous-flow ventricular assist devices are increasingly used in children. This study details a rare case of dual HeartWare HVAD implantation for biventricular support in a pediatric patient with acute myocarditis.

Area of Science:

  • Cardiology
  • Pediatric Cardiac Surgery
  • Mechanical Circulatory Support

Background:

  • Ventricular assist device (VAD) use is expanding in pediatric patients.
  • Adult continuous-flow VADs are increasingly utilized in this population.
  • Biventricular support is occasionally required but surgically complex.

Observation:

  • A pediatric patient with acute myocarditis required biventricular mechanical circulatory support.
  • Surgical implantation of two continuous-flow devices (HeartWare HVAD) was performed.
  • This represents a rare instance of dual VAD implantation for biventricular failure in a child.

Findings:

  • Successful implantation of two HeartWare HVAD devices provided biventricular support.
  • The case highlights a feasible surgical strategy for complex biventricular support in pediatric patients.
  • This approach addressed acute biventricular decompensation due to myocarditis.

Implications:

  • Dual continuous-flow VADs can be a viable option for pediatric biventricular support.
  • The presented surgical strategy may offer an alternative for challenging cases.
  • Further research into pediatric biventricular assist device strategies is warranted.

Keywords:
acute heart failurebiventricular assist deviceheart transplantationmyocarditispediatric

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