Biventricular assist device as a bridge to transplantation in a pediatric patient.
A 5 1/2-year-old boy with idiopathic cardiomyopathy and rapidly worsening hemodynamic parameters underwent placement of a biventricular assist device as a bridge to transplantation. Direct anastomoses to both the aorta and pulmonary artery with Dacron grafts attached to Carmeda-coated tubing facilitated the support period. Inflow was provided by right atrial appendage and left ventricular apex cannulas. A centrifugal pump provided support for 2 days until a suitable donor was identified. The technique is simple, reproducible, and effective for patients with small body surface areas.
Williams
M R
MR
Division of Cardiothoracic Surgery, College of Physicians and Surgeons, Columbia University, New York, New York, USA.
Quaegebeur
J M
JM
Hsu
D T
DT
Addonizio
L J
LJ
Kichuk
M R
MR
Oz
M C
MC
D000714:Anastomosis, Surgical; D001011:Aorta / Q000601:surgery; D001807:Blood Vessel Prosthesis; D001830:Body Surface Area; D002311:Cardiomyopathy, Dilated / Q000601:surgery; D002405:Catheterization, Central Venous / Q000295:instrumentation; D002675:Child, Preschool; D004867:Equipment Design; D016027:Heart Transplantation; D006353:Heart-Assist Devices; D006801:Humans; D007440:Intubation / Q000295:instrumentation; D008297:Male; D011093:Polyethylene Terephthalates; D011651:Pulmonary Artery / Q000601:surgery; D015203:Reproducibility of Results
D011093:Polyethylene Terephthalates