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Meena Nathan
Christopher Baird
Francis Fynn-Thompson
Peter Laussen
Frank Pigula
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Right arrow Congenital - cyanotic
Right arrow Extracorporeal circulation
Right arrow Mechanical Circulatory Assistance
Right arrow Transplantation - heart

J Thorac Cardiovasc Surg 2006;131:1407-1408
© 2006 The American Association for Thoracic Surgery

Brief Communication

Successful implantation of a Berlin heart biventricular assist device in a failing single ventricle

Meena Nathan, MD * , Christopher Baird, MD, Francis Fynn-Thompson, MD, Christopher Almond, MD, MPH, Ravi Thiagarajan, MD, MPH, Peter Laussen, MBBS, Elizabeth Blume, MD, Frank Pigula, MD

Department of Cardiac Surgery, Children's Hospital, Boston, Harvard Medical School, Boston, Mass.

Received for publication February 3, 2006; revisions received February 15, 2006; accepted for publication February 20, 2006.

* Address for reprints: Frank Pigula, MD, Children's Hospital, Cardiac Surgery, Bader 273, 300 Longwood Ave, Boston, MA 02115.

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

Extracorporeal membrane oxygenation (ECMO) has traditionally been used for short-term mechanical support in pediatric cardiac failure, but its utility is limited by prolonged waiting times for allografts. Ventricular assist devices (VADs) are being used with increasing frequency in children as a long-term bridge to transplantation. We report our experience with placement of a biventricular assist device (BIVAD) in a child with failing Fontan circulation as a bridge to transplantation.

Clinical Summary

A 4-year-old, 12-kg girl with hypoplastic left heart syndrome and a failing Fontan circulation was admitted with pleural effusions, plastic bronchitis, systemic venous hypertension, and extensive systemic-to-pulmonary arterial collaterals. At catheterization (Figure 1), her calculated pulmonary vascular resistance was 3.8 WU. Despite maximal medical management, her condition . . . [Full Text of this Article]




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