Abstract:
:This report describes an 8-year-old child with acute anthracycline-induced cardiomyopathy triggered by human herpesvirus 6 and the subsequent implantation of an intracorporeal continuous-flow left ventricular assist device (LVAD) and the process to discharge the child from the hospital. After barely 3 months on mechanical support, the device was explanted after thorough examination. Experiences regarding LVAD removal are limited, and no guidelines for echocardiographic and hemodynamic criteria for LVAD removal in children have been published thus far. We present our institutional algorithm for device selection, surveillance in an ambulatory setting, and testing for myocardial recovery, as well as our criteria for LVAD explantation in children.
journal_name
Pediatricsjournal_title
Pediatricsauthors
Cavigelli-Brunner A,Schweiger M,Knirsch W,Stiasny B,Klingel K,Kretschmar O,Hübler Mdoi
10.1542/peds.2013-2272subject
Has Abstractpub_date
2014-09-01 00:00:00pages
e894-9issue
3eissn
0031-4005issn
1098-4275pii
peds.2013-2272journal_volume
134pub_type
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