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J Thorac Cardiovasc Surg 2008;135:953
© 2008 The American Association for Thoracic Surgery

Brief Communication

Right-sided heart reperfusion in pediatric patients with left ventricular assist device

Daniel Schmaussa, Christoph Schmitz, MDa, Edward Malec, MDa, Markus A. Deutsch, MDa, Ingo Kaczmarek, MDa, Andre Beiras-Fernandez, MDa, Matthias Loebe, PhDb, Bruno Reichart, MDa, Ralf Sodian, MDa,*

a Department of Cardiac Surgery, Ludwig-Maximilian University, Munich, Germany
b Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas

Received for publication September 25, 2007; accepted for publication October 2, 2007.

* Address for reprints: Ralf Sodian, MD, Department of Cardiac Surgery, Ludwig-Maximilians-University, Marchioninistr. 15, 81377 Munich, Germany. (Email: ralf.sodian@med.uni-muenchen.de).

The first 20% of the full text of this article appears below.

Mechanical circulatory support is important in the bridge to transplantation and bridge to recovery, especially in pediatric patients with end-stage heart failure. Right ventricular failure is a complication and major determinant of survival after implantation of a left ventricular assist device (LVAD). However, an implantable right ventricular assist device (RVAD) is not often clinically used for 3 reasons: (1) It is difficult to predict whether the pediatric patient requiring an LVAD will also require implantation of an RVAD; (2) right ventricular failure recovers more quickly than left ventricular failure; and (3) there is limitation of space in a pediatric patient.1Go Therefore, we recently developed a safe procedure to preserve right ventricular function during implantation of an LVAD in pediatric patients.

Clinical Summary

A 4-year-old girl (16 kg) with end-stage cardiomyopathy . . . [Full Text of this Article]






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