title: Left ventricular assists device insertion via small right axillary incision in a pediatric patient.
abstract: We report the use of a right axillary skin incision to institute a ventricle assist device support in a two-year-old 14 kg male with fulminant myocarditis. The ease of conversion to a long-term support, avoidance of a sternotomy, and a less visible incision made this approach an attractive option in this group of sick patients.
authors.affiliation: Department of Pediatric Cardiac Surgery, Mount Sinai Medical Center, New York, New York.
authors.forename: Gianluca
authors.initials: G
authors.lastname: Torregrossa
authors.forename: Amit
authors.initials: A
authors.lastname: Pawale
authors.forename: Ahmed
authors.initials: A
authors.lastname: El-Eshmawi
authors.forename: Khanh
authors.initials: K
authors.lastname: Nguyen
mesh_terms: D001365:Axilla / Q000601:surgery*; D002675:Child, Preschool; D000075202:Contraindications; D006353:Heart-Assist Devices; D006801:Humans; D008297:Male; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D009205:Myocarditis / Q000601:surgery*; D010490:Pericardial Effusion / Q000601:surgery; D019919:Prosthesis Implantation / Q000379:methods*; D056346:Sternotomy; D013997:Time Factors; D018487:Ventricular Dysfunction, Left / Q000601:surgery