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Chapter 35 - Left Heart Ventricular Assist Device

from Section 6 - Heart Failure, Mechanical Circulatory Support, and Transplantation

Published online by Cambridge University Press:  09 September 2021

By
J. Nick Pratap
Edited by
Laura K. Berenstain  and
James P. Spaeth
Laura K. Berenstain
Affiliation:
Cincinnati Children's Hospital Medical Center
James P. Spaeth
Affiliation:
Cincinnati Children's Hospital Medical Center
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Summary

A ventricular assist device is a mechanical pump used to support failing heart function when medical therapies have been exhausted. The need for mechanical circulatory support arises when medical therapy has been exhausted in the setting of heart failure. The purpose of a ventricular assist device such as the Berlin Heart EXCOR is to assume or augment ventricular function and restore cardiac output and adequate perfusion to end-organs. The Berlin Heart EXCOR (Berlin Heart GmbH) is the only Food and Drug Administration–approved device for long-term support of younger children with low cardiac output syndrome, and it can be used for right, left, or biventricular support. This chapter details the assessment and perioperative management of a patient receiving left ventricular support with a Berlin Heart.

Keywords

Berlin Heartheart failureleft ventricular assist devicemechanical circulatory supportventricular assist device
Type
Chapter
Information
Congenital Cardiac Anesthesia
A Case-based Approach
 , pp. 268 - 275
Publisher: Cambridge University Press
Print publication year: 2021

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References

Suggested Reading

Cave, D. A., Fry, K. M., and Buchholz, H. Anesthesia for noncardiac procedures for children with a Berlin Heart EXCOR Pediatric Ventricular Assist Device: a case series. Paediatr Anaesth 2010; 20: 647–59.CrossRefGoogle Scholar
May, L. J., Lorts, A., VanderPluym, C., et al. Marked practice variation in antithrombotic care with the Berlin Heart EXCOR pediatric ventricular assist device. ASAIO J 2019; 65: 731–37.CrossRefGoogle ScholarPubMed
Miera, O., Morales, D. L. S., Thul, J., et al. Improvement of survival in low-weight children on the Berlin Heart EXCOR ventricular assist device support. Eur J Cardiothorac Surg 2019; 55: 913–19.CrossRefGoogle ScholarPubMed

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