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Implantation of a HeartMate 3 ventricular assist device in a 21-kg pediatric patient with Fontan failure.

Publication ,  Journal Article
Ranney, DN; Habermann, AC; Meza, JM; Turek, JW; Lodge, AJ; Vesel, TP; Kirmani, S; Schroder, JN; Andersen, ND
Published in: J Card Surg
December 2020

AIMS: The HeartMate 3 (HM3) ventricular assist device (VAD) is gaining popularity in adults due to a favorable risk profile. However, reports of HM3 use in children are limited, potentially due to concerns with device size. MATERIALS AND METHODS: Here we report the successful use of an HM3-VAD as a bridge to transplantation in a 21 kg (BSA 0.84), an 8-year-old male child with Fontan failure on home inotropes. RESULTS: Urgent VAD implantation was performed. The standard adult sewing ring was used. The tricuspid valve and papillary muscles were completely excised from the ventricular cavity to prevent inflow obstruction. The pump was placed in the left pleural space. Outflow graft and driveline implantation were routine. VAD function appeared excellent with a reduction in Fontan pressures and improved kidney and liver function. Reoperation was required once to rule out tamponade and twice to evacuate a recurrent right hemothorax. The patient was discharged 3 months later in good condition and underwent successful heart transplantation 10 months after VAD placement. DISCUSSION: This report demonstrates the feasibility of HM3-VAD implantation in a 21-kg Fontan patient, suggesting HM3 size is not a prohibitive limitation at this weight.

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Published In

J Card Surg

DOI

EISSN

1540-8191

Publication Date

December 2020

Volume

35

Issue

12

Start / End Page

3634 / 3637

Location

United States

Related Subject Headings

  • Reoperation
  • Male
  • Humans
  • Heart-Assist Devices
  • Heart Transplantation
  • Heart Failure
  • Child
  • Cardiovascular System & Hematology
  • Adult
  • 3202 Clinical sciences
 

Citation

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ICMJE
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Ranney, D. N., Habermann, A. C., Meza, J. M., Turek, J. W., Lodge, A. J., Vesel, T. P., … Andersen, N. D. (2020). Implantation of a HeartMate 3 ventricular assist device in a 21-kg pediatric patient with Fontan failure. J Card Surg, 35(12), 3634–3637. https://doi.org/10.1111/jocs.15088
Ranney, David N., Alyssa C. Habermann, James M. Meza, Joseph W. Turek, Andrew J. Lodge, Travis P. Vesel, Sonya Kirmani, Jacob N. Schroder, and Nicholas D. Andersen. “Implantation of a HeartMate 3 ventricular assist device in a 21-kg pediatric patient with Fontan failure.J Card Surg 35, no. 12 (December 2020): 3634–37. https://doi.org/10.1111/jocs.15088.
Ranney DN, Habermann AC, Meza JM, Turek JW, Lodge AJ, Vesel TP, et al. Implantation of a HeartMate 3 ventricular assist device in a 21-kg pediatric patient with Fontan failure. J Card Surg. 2020 Dec;35(12):3634–7.
Ranney, David N., et al. “Implantation of a HeartMate 3 ventricular assist device in a 21-kg pediatric patient with Fontan failure.J Card Surg, vol. 35, no. 12, Dec. 2020, pp. 3634–37. Pubmed, doi:10.1111/jocs.15088.
Ranney DN, Habermann AC, Meza JM, Turek JW, Lodge AJ, Vesel TP, Kirmani S, Schroder JN, Andersen ND. Implantation of a HeartMate 3 ventricular assist device in a 21-kg pediatric patient with Fontan failure. J Card Surg. 2020 Dec;35(12):3634–3637.
Journal cover image

Published In

J Card Surg

DOI

EISSN

1540-8191

Publication Date

December 2020

Volume

35

Issue

12

Start / End Page

3634 / 3637

Location

United States

Related Subject Headings

  • Reoperation
  • Male
  • Humans
  • Heart-Assist Devices
  • Heart Transplantation
  • Heart Failure
  • Child
  • Cardiovascular System & Hematology
  • Adult
  • 3202 Clinical sciences