title: Use of HeartWare Ventricular Assist System for systemic ventricular support of a pediatric patient after Mustard procedure.
abstract: BACKGROUND
  The HeartWare Ventricular Assist System is indicated to provide mechanical circulatory support of patients with intractable heart failure as a bridge to cardiac transplantation. We describe the use of this device to support the systemic right ventricle (RV) of a pediatric patient with New York Heart Association class IIIC congestive heart failure who had undergone Mustard procedure for D-transposition of the great vessels as an infant.
  
  
  METHODS
  A HeartWare ventricular assist device was implanted in the left chest of a 16-year-old female patient (body surface area 1.43 m(2)) who presented with edema and later deteriorated, developing acute kidney injury, dysrhythmia, and pulmonary edema.
  
  
  RESULTS
  The patient's edema and acute kidney injury resolved after device placement. She was discharged home and successfully underwent device removal with heart transplant five months later.
  
  
  CONCLUSIONS
  The HeartWare device may be used for extended support as a systemic RV in a pediatric patient. It is feasible to consider using the device in this patient population.
authors: University of Iowa Carver College of Medicine, Iowa City, IA, USA dorian-kenleigh@uiowa.edu.
authors: Dorian
authors: D
authors: Kenleigh
authors: Stead Family Department of Pediatrics, University of Iowa Children's Hospital, Iowa City, IA, USA.
authors: R Erik
authors: RE
authors: Edens
authors: Department of Cardiothoracic Surgery, Ochsner Health System, New Orleans, LA, USA.
authors: Michael J
authors: MJ
authors: Bates
authors: Division of Pediatric Cardiac Surgery, University of Iowa Children's Hospital, Iowa City, IA, USA.
authors: Joseph W
authors: JW
authors: Turek
mesh_terms: D000293:Adolescent; D005260:Female; D006333:Heart Failure / Q000601:surgery*; D006352:Heart Ventricles / Q000601:surgery; D006353:Heart-Assist Devices; D006801:Humans; D014188:Transposition of Great Vessels; D018754:Ventricular Dysfunction / Q000601:surgery*
keywords: adult congenital heart disease; arterial switch operation; artificial organs; circulatory assist devices (LVAD, RVAD, BVAD, TAH); circulatory hemodynamics; congenital heart disease; congenital heart surgery; heart; heart failure; pediatric; transplantation