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1: Ann Thorac Surg. 2007 Mar;83(3):1179-81.Click here to read Links

Berlin Heart ventricular assist device in a child with hypoplastic left heart syndrome.

Chu MW, Sharma K, Tchervenkov CI, Jutras LF, Lavoie J, Shemie SD, Laliberte E, Calaritis C, Cecere R.

Division of Pediatric Cardiovascular Surgery, Montreal Children's Hospital, Montréal, Québec, Canada.

We report the implantation of a Berlin Heart ventricular assist device (VAD) in a 4-year-old boy with hypoplastic left heart syndrome previously palliated with Norwood and Glenn operations, who presented with progressive ventricular failure and hypoxemia. Insertion of a 30-mL pneumatic pediatric pump with cannulation of the systemic right ventricle and aorta had a salutary effect on cardiac output, improving oxygen saturations. While awaiting heart transplantation, multiple thromboembolic complications developed and he died, despite therapeutic heparinization and aspirin therapy. Important lessons learned about VAD support in Glenn physiology, anticoagulation, and complications of the Berlin Heart are discussed.

PMID: 17307489 [PubMed - indexed for MEDLINE]

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