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J Thorac Cardiovasc Surg 2004;127:1203-1204
© 2004 The American Association for Thoracic Surgery

Brief communication

Thoratec left ventricular assist device as a bridge to recovery in a child weighing 27 kilograms

Peter Pastuszko, MDa, Peter J. Gruber, MD, PhDa, Gil Wernovsky, MDb, Ronn E. Tanel, MDb, Larry A. Rhodes, MDb, Susan C. Nicolson, MDc, Thomas L. Spray, MDa, J. William Gaynor, MDa,*

a Department of Cardiovascular Surgery, The Cardiac Center at the Children's Hospital of Philadelphia, Philadelphia, PA, USA
b Division of Cardiology, The Cardiac Center at the Children's Hospital of Philadelphia, Philadelphia, PA, USA
c Department of Cardiac Anesthesiology, The Cardiac Center at the Children's Hospital of Philadelphia, Philadelphia, PA, USA

Received for publication May 12, 2003; accepted for publication May 16, 2003.

* Address for reprints: J. William Gaynor, MD, Division of Cardiothoracic Surgery, The Children's Hospital of Philadelphia, 34th and Civic Center Blvd, Suite 8527, Philadelphia, PA 19104
Gaynor@email.chop.edu

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


Because of a potential conflict of interest related to this article on the part of our editors, Dr Richard Jonas served as guest section editor, assigned reviewers, and made editorial decisions or recommendations leading to its acceptance for publication.

 

Limited organ availability and prolonged waiting periods for donor hearts has led to the increased use of ventricular assist devices (VADs) as a bridge to transplantation. Recognition of potential myocardial recovery in some reversible cardiac diseases has prompted the use of these devices as a bridge to recovery. Extracorporeal membrane oxygenation is often the only choice for circulatory support in infants and smaller children.1 There are currently no pulsatile VADs approved for use in infants and children in the United States.2 Adult devices such as the Thoratec VAD (Pleasanton, Calif) have been used in some children as a bridge to transplantation.3-5 However, the discrepancy in size between the device and the patient limits its use, particularly if bridge to recovery and removal . . . [Full Text of this Article]




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