title: Infant myocardial recovery with device and surgical repair.
abstract: A 4-month-old female infant (weight, 6.17 kg; height, 65 cm) presenting with tachypnea and tachycardia, and a left ventricular ejection fraction of 10%, deteriorated on increasing inotropic therapy and mechanical ventilation. Implantation of a centrifugal left ventricular assist device and institution of maximal medical heart failure therapy led to reverse remodeling and discontinuation of device support after 9 days. One week later, after failure to wean from the ventilator and persistence of a severely dyskinetic septum, a ventricular septal aneurysmectomy was done. The patient was extubated 5 days later followed by hospital discharge 11 days post-septal aneurysmectomy. The patient has done well since then with the most recent echocardiogram showing a 65% ejection fraction.
authors.affiliation: Department of Surgery, University of California San Diego, San Diego, California 92103, USA. jackcope3@gmail.com
authors.forename: Jack
authors.initials: J
authors.lastname: Copeland
authors.forename: Hannah
authors.initials: H
authors.lastname: Zimmerman
mesh_terms: D002311:Cardiomyopathy, Dilated / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D005260:Female; D006322:Heart Aneurysm / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D006353:Heart-Assist Devices; D006801:Humans; D007223:Infant; D020257:Ventricular Remodeling; D054088:Ventricular Septum