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Chapter 36 - Right Ventricular Assist Device

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

Published online by Cambridge University Press:  09 September 2021

By
Rajeev Wadia  and
Jamie McElrath Schwartz
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

Mechanical circulatory support for children includes extracorporeal membrane oxygenation and ventricular assist devices. While extracorporeal membrane oxygenation provides both cardiac and respiratory support, ventricular assist devices support only cardiac function. The choice of device used depends on patient acuity, presence of comorbidities, potential for recovery, and the anticipated length of support required. This chapter outlines the types of mechanical circulatory support available for support of the right and left heart and details care of a patient receiving such support.

Keywords

cardiac failuremechanical circulatory supportleft ventricular assist device (LVAD)right ventricular assist device (RVAD)
Type
Chapter
Information
Congenital Cardiac Anesthesia
A Case-based Approach
 , pp. 276 - 282
Publisher: Cambridge University Press
Print publication year: 2021

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References

Suggested Reading

Adler, A., Grogan, K., and Berenstain, L. Mechanical circulatory support. In Coté, C., Lerman, J., and Anderson, B., eds. A Practice of Anesthesia for Infants and Children, 6th ed. Philadelphia, Elsevier, 2018; 500–19.Google Scholar
Argiriou, M., Kolokotron, S., Sakellaridis, T., et al. Right heart failure post left ventricular assist device implantation. J Thorac Dis 2014; 6: S52–59.Google ScholarPubMed
Hehir, D. A., Niebler, R. A., Brabant, C. C., et al. Intensive care of the pediatric ventricular assist device patient. World J Pediatr Congenit Heart Surg 2012; 3: 58–66.CrossRefGoogle ScholarPubMed
Karimov, J. H., Sunagawa, G., Horvath, D., et al. Limitations of chronic right ventricular assist device support. Ann Thorac Surg 2016; 102: 651–8.CrossRefGoogle ScholarPubMed
Karimova, A., Pockett, C. R., Lasuen, N., et al. Right ventricular dysfunction in children supported with pulsatile ventricular assist devices. J Thorac Cardiovasc Surg 2014; 147: 1691–7.CrossRefGoogle ScholarPubMed
Miller, J. R., Epstein, D. J., Henn, M. C., et al. Early biventricular assist device use in children: a single-center review of 31 patients. ASAIO J 2015; 61: 688–94.CrossRefGoogle ScholarPubMed
Nelson McMillan, K., Hibino, N., Brown, E. E., et al. HeartWare ventricular assist device implantation for pediatric heart failure–a single center approach. Artif Organs 2019; 43: 21–9.Google Scholar
Stein, M., Yeh, J., Reinhartz, O., et al. HeartWare HVAD for biventricular support in children and adolescents: the Stanford experience. ASAIO J 2016; 62: e46-51.CrossRefGoogle ScholarPubMed

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