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New era of pediatric ventricular assist devices: Let us go to school
Author(s) -
Ozbaran Mustafa,
Yagdi Tahir,
Engin Cagatay,
Ulger Zulal,
Ozbaran Burcu,
Kose Sezen,
Kacamak Duygu,
Engin Yaprak
Publication year - 2015
Publication title -
pediatric transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.457
H-Index - 69
eISSN - 1399-3046
pISSN - 1397-3142
DOI - 10.1111/petr.12399
Subject(s) - medicine , psychosocial , economic shortage , intensive care medicine , ventricular assist device , unit (ring theory) , transplantation , medical emergency , pediatrics , surgery , heart failure , psychiatry , cardiology , linguistics , philosophy , mathematics education , mathematics , government (linguistics)
Abstract As there is still a shortage of pediatric donor hearts, several techniques have been used to assist pediatric patients to survive until transplantation. VAD s provide long‐term support and ability of mobilization for children before a suitable heart becomes available. Several devices such as paracorporeal pumps have been used for this purpose, with acceptable morbidity and mortality rates. However, discharge is not possible, as there is no mobile drive unit for these small‐sized pumps. The possible negative psychosocial impact of long‐term hospitalization, away from home and school, may cause some adjustment problems in the future. In this case series, three pediatric patients that underwent intracorporeal LVAD implantation and returned to school are presented to share clinical experience and also to attract attention to the potential social and psychiatric implications.