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Repair of ALCAPA in a 4‐kg Patient Followed by Successful Weaning and “Off‐Pump” Explantation of an Apical Venting Pulsatile LVAD
Author(s) -
Huebler Michael,
Koster Andreas,
Redlin Matthias,
Boettcher Wolfgang,
Stiller Brigitte,
Nürnberg Ian,
Kuppe Herman,
Hetzer Roland
Publication year - 2005
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/j.1540-8191.2005.200439.x
Subject(s) - pulsatile flow , medicine , weaning , extracorporeal , ventricular assist device , bridge to transplantation , extracorporeal membrane oxygenation , cardiology , heart failure , surgery
Even in infants and small children, ventricular assist devices have an emerging role in the treatment of congenital and postcardiotomy heart failure. Extracorporeal pneumatic pulsatile devices are considered the strategy of choice if long‐lasting bridge to recovery or transplantation is expected. However, complete explantation of the device may be complicated by hemorrhage and subsequent transfusions due to the establishment of CPB. The present case demonstrates successful weaning and complete removal of an apical venting pulsatile LVAD in a 4‐kg infant without the employment of CPB.