Use of HeartWare Ventricular Assist System for systemic ventricular support of a pediatric patient after Mustard procedure.
Parole chiave
Astratto
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.
