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J Thorac Cardiovasc Surg 2008;136:1386-1387
© 2008 The American Association for Thoracic Surgery
Brief Communication |
a Division of Cardiothoracic Surgery, Department of Surgery, Columbia University College of Physicians and Surgeons, New York, NY
b Department of Cardiothoracic Surgery, Joan and Sanford Weill Medical College of Cornell University, New York, NY
Received for publication November 1, 2007; revisions received February 29, 2008; accepted for publication May 4, 2008. * Address for reprints: Yasutaka Hirata, MD, Pediatric Cardiac Surgery, Columbia University College of Physicians and Surgeons, New York, NY. (Email: yh2240@columbia.edu).
| The first 20% of the full text of this article appears below. |
The Thoratec CentriMag ventricular assist device (VAD) (Thoratec Corporation Pleasanton, Calif) (Figure 1 ) is a centrifugal pump designed for extracorporeal support that operates without mechanical bearings or seals. Although extracorporeal membrane oxygenation (ECMO) provides cardiac and respiratory support in a rapid manner for the pediatric patient population, it offers only short-term support with an increase in complications beyond the second week. The CentriMag system has advantages over other systems: the pumps have a low priming volume and low requirements for heparin and hemolysis. We report three successful applications of the CentriMag BiVAD as a bridge to pediatric heart transplantation.
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PATIENT 1. A 7-year-old previously healthy boy with a 10-day history of abdominal symptoms was brought to the emergency department initially stable, but his condition deteriorated and later necessitated intubation and full cardiac support; his oxygen saturation decreased to 40%. Echocardiographic analysis revealed severely decreased left ventricular function. The heart arrested in the
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