Use of Mechanical Circulatory Support in Isolated Right Heart Failure: A Bridge to Transplantation.

Creator(s)

Daniel J. Beissel, Children's Mercy Hospital
Brian Birnbaum, Children's Mercy HospitalFollow
Aliessa P. Barnes, Children's Mercy HospitalFollow
James E. O'Brien, Children's Mercy HospitalFollow
Elizabeth M. Turk, Children's Mercy HospitalFollow
James D. St Louis, Children's Mercy Hospital

Document Type

Article

Publication Date

8-2017

Identifier

DOI: 10.1016/j.athoracsur.2017.02.058

Abstract

Acute myocarditis may lead to left ventricular dysfunction and subsequent need for cardiac transplantation. We describe a 15-month-old child who presented with right heart failure of unclear cause. Echocardiography showed normal left ventricular function; however, right ventricular function was markedly reduced. The patient required extracorporeal membrane oxygenation followed by placement of a right-sided Berlin EXCOR ventricular assist device. There was little recovery, and the child underwent cardiac transplantation. Subsequent pathologic examination revealed lymphocytic myocarditis. We believe this is the first use of an isolated right ventricular assist device as a bridge to heart transplantation.

Journal Title

The Annals of thoracic surgery

Volume

104

Issue

2

First Page

155

Last Page

155

MeSH Keywords

Echocardiography; Extracorporeal Membrane Oxygenation; Heart Failure; Heart Transplantation; Heart-Assist Devices; Humans; Infant; Male

Keywords

Echocardiography; Extracorporeal Membrane Oxygenation; Heart Failure; Heart Transplantation; Heart-Assist Devices; Humans; Infant; Male

Recommended Citation

Beissel DJ, Birnbaum BF, Barnes AP, O'Brien JE, Turk EM, St Louis JD. Use of Mechanical Circulatory Support in Isolated Right Heart Failure: A Bridge to Transplantation. Ann Thorac Surg. 2017;104(2):e155-e156. doi:10.1016/j.athoracsur.2017.02.058