HeartWare Explant After Recovery 6 Years After Implant in a 3-Year-Old Child: Has the Game Changed?

Authors :: McPherson I
Generali T
Reinhardt Z
Chilvers N
Nassar M
De Rita F
Viganò G
Schueler S
Hasan A
Source :: The Annals of thoracic surgery [Ann Thorac Surg] 2021 Jul; Vol. 112 (1), pp. e37-e39. Date of Electronic Publication: 2021 Jan 04.
Publication Year :: 2021
Abstract: The use of continuous-flow mechanical circulatory support in preschool children remains anecdotal. This case report describes the sequel to the implantation with a HeartWare HVAD system (Medtronic, Minneapolis, MN) in a 3-year old child. A 3-year-old boy with myocarditis-related cardiomyopathy underwent implantation with a HeartWare device. After an uncomplicated postoperative course, the patient was discharged home. Serial echocardiography showed progressive left ventricular recovery. After 6 months, the device was decommissioned, and the outflow graft was tied off. Six years after insertion, the device was explanted uneventfully. The HeartWare ventricular assist device offers viable long-term mechanical circulatory support in selected children that results in sustainable care and good quality of life.<br /> (Copyright © 2021 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.)

Subjects :: Child, Preschool
Echocardiography
Follow-Up Studies
Heart Failure diagnosis
Heart Ventricles diagnostic imaging
Heart Ventricles physiopathology
Humans
Male
Device Removal methods
Forecasting
Heart Failure surgery
Heart Ventricles surgery
Heart-Assist Devices adverse effects
Quality of Life
Recovery of Function

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