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Ventricular Assist Device Application With the Intermediate Use of a Membrane Oxygenator as a Bridge to Pediatric Heart Transplantation

2009; Elsevier BV; Volume: 28; Issue: 7 Linguagem: Inglês

10.1016/j.healun.2009.04.018

1557-3117

Luis García‐Guereta, Javier Cabo, Pedro de la Oliva, Miguel Ángel Rodríguez Villar, L. Deiros Bronte, Luis Goldman, Michael Hübler,

Transplantation: Methods and Outcomes

Extracorporeal membrane oxygenation and ventricular assist devices are currently used for the treatment of severe heart failure as a bridge to transplantation. The use of ventricular assist devices is limited by respiratory failure. We report a patient with severe heart failure and respiratory failure who was successfully bridged to transplantation, initially with extracorporeal membrane oxygenation and afterwards with an EXCOR biventricular assist device (Berlin Heart AG, Berlin, Germany) and a membrane oxygenator (Jostra Quadrox D, Maquet Cardiopulmonary, AG Hirrlingen, Germany) intercalated in the outflow cannula of the left pump. Extracorporeal membrane oxygenation and ventricular assist devices are currently used for the treatment of severe heart failure as a bridge to transplantation. The use of ventricular assist devices is limited by respiratory failure. We report a patient with severe heart failure and respiratory failure who was successfully bridged to transplantation, initially with extracorporeal membrane oxygenation and afterwards with an EXCOR biventricular assist device (Berlin Heart AG, Berlin, Germany) and a membrane oxygenator (Jostra Quadrox D, Maquet Cardiopulmonary, AG Hirrlingen, Germany) intercalated in the outflow cannula of the left pump.