Isolated right ventricular unloading for postcardiotomy right ventricular failure in a child.
Severe right ventricular (RV) failure after total correction of double outlet RV (DORV) with pulmonary atresia was completely reversed with extracorporeal mechanical RV unloading in a 2.5-year-old child. The patient could be weaned after 168 h of RV assist device (RVAD) support using a centrifugal Bio-Medicus pump and was discharged from the hospital without adverse effects. This experience of isolated RV unloading in a child encourages further application of RVAD in pediatric patients.
Kim
Y I
YI
Department of Cardiac Surgery, Katholieke Universiteit Leuven, University Hospital Gasthuisberg, Belgium.
Ferdinande
P
P
Flameng
W
W
Daenen
W
W
D002315:Cardiopulmonary Bypass; D002675:Child, Preschool; D004310:Double Outlet Right Ventricle / Q000503:physiopathology / Q000601:surgery*; D005500:Follow-Up Studies; D006353:Heart-Assist Devices; D006439:Hemodynamics / Q000502:physiology; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000503:physiopathology / Q000601:surgery*; D018633:Pulmonary Atresia / Q000503:physiopathology / Q000601:surgery*; D012086:Reoperation; D012151:Resuscitation; D012770:Shock, Cardiogenic / Q000503:physiopathology / Q000601:surgery; D018497:Ventricular Dysfunction, Right / Q000503:physiopathology / Q000601:surgery*; D016278:Ventricular Function, Right / Q000502:physiology*