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Since August 2015, the pediatric ventricular assist device (VAD), Berlin Heart EXCOR ® , has been accepted for use in Japan.Methods and Results:Between August 2015 and July 2016, 4 pediatric patients with endstage heart failure underwent LVAD implantation with the EXCOR ® device. The median age and body weight at operation were 8 months and 4.8 kg. During a median follow-up of 7.3 months (range, 5.0-10.3), all patients survived. Two patients went on to heart transplantation and the remaining 2 are on a waiting list with stable hemodynamics.

Early Single Institutional Experience of Berlin Heart EXCOR<sup>®</sup> Pediatric Ventricular Assist Device in Japan