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Temporary biventricular support as a bridge to recovery: A justifiable strategy for small children with fulminant

Nur Dikmen Yaman1, Tanıl Kendirli2, Tayfun Uçar3

  • 1Department of Cardiovascular Surgery, Ankara University School of Medicine, Ankara, Turkey.

Perfusion
|April 9, 2021
PubMed

Insights

Mechanical circulatory support (MCS) can save children with acute cardiogenic shock (ACS). A Levitronix CentriMag System provided biventricular support, enabling recovery in a pediatric patient, highlighting its potential for young children.

Area of Science:

  • Pediatric Cardiology
  • Cardiothoracic Surgery
  • Biomedical Engineering

Background:

  • Mechanical circulatory support (MCS) is critical for pediatric acute cardiogenic shock (ACS).
  • Myocardial recovery after MCS is infrequent, with limited options for low-body-weight children.
  • Extracorporeal membrane oxygenation (ECMO) is a common bridge, but may negatively impact myocardial recovery.

Purpose of the Study:

  • To describe the successful use of a Levitronix CentriMag System for biventricular support.
  • To evaluate its efficacy as a bridge to recovery in a pediatric patient with fulminant myocarditis.
  • To highlight the system's potential for infants and small children with ACS.

Main Methods:

  • Case report of a 16-month-old boy (11 kg) with type A influenza-related fulminant myocarditis.
  • Utilized the Levitronix CentriMag System for short-term, biventricular paracorporeal support.
  • Monitored patient's recovery and outcome following biventricular support.

Main Results:

  • The Levitronix CentriMag System provided safe and effective biventricular support.
  • The pediatric patient achieved recovery from acute cardiogenic shock.
  • Demonstrated successful bridging to recovery using this MCS modality.

Conclusions:

  • The Levitronix CentriMag System is a viable option for short-term biventricular support in infants and small children with ACS.
  • This case highlights the potential for myocardial recovery with appropriate MCS strategies.
  • Further research is warranted to explore MCS's role in promoting recovery in pediatric populations.

Keywords:
acute cardiogenic shockbiventricular supportchildrenfulminant myocarditismechanical circulatory support

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