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HeartWare Explant After Recovery 6 Years After Implant in a 3-Year-Old Child: Has the Game Changed?

Lookup NU author(s): Dr Zdenka Reinhardt, Mohamed Nassar, Fabrizio De Rita, Dr Stephan Schueler

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Abstract

© 2021 The Society of Thoracic SurgeonsThe use of continuous-flow mechanical circulatory support in preschool children remains anecdotal. This case report describes the sequel to the implantation with a HeartWare HVAD system (Medtronic, Minneapolis, MN) in a 3-year old child. A 3-year-old boy with myocarditis-related cardiomyopathy underwent implantation with a HeartWare device. After an uncomplicated postoperative course, the patient was discharged home. Serial echocardiography showed progressive left ventricular recovery. After 6 months, the device was decommissioned, and the outflow graft was tied off. Six years after insertion, the device was explanted uneventfully. The HeartWare ventricular assist device offers viable long-term mechanical circulatory support in selected children that results in sustainable care and good quality of life.

Publication metadata

Author(s): McPherson I, Generali T, Reinhardt Z, Chilvers N, Nassar M, De Rita F, Vigano G, Schueler S, Hasan A

Publication type: Article

Publication status: Published

Journal: Annals of Thoracic Surgery

Year: 2021

Volume: 112

Issue: 1

Pages: e37-e39

Print publication date: 01/07/2021

Online publication date: 03/01/2021

Acceptance date: 12/10/2020

ISSN (print): 0003-4975

ISSN (electronic): 1552-6259

Publisher: Elsevier Inc.

URL: https://doi.org/10.1016/j.athoracsur.2020.10.061

DOI: 10.1016/j.athoracsur.2020.10.061

PubMed id: 33412138

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