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Ann Thorac Surg 1996;62:578-580
© 1996 The Society of Thoracic Surgeons

Case Report

Biventricular Assist Device as a Bridge to Transplantation in a Pediatric Patient

Mathew R. Williams, BA, Jan M. Quaegebeur, MD, Daphne T. Hsu, MD, Linda J. Addonizio, MD, Maryanne R. Kichuk, MD, Mehmet C. Oz, MD

Divisions of Cardiothoracic Surgery and Pediatric Cardiology, College of Physicians and Surgeons of Columbia University, New York, New York

Accepted for publication February 26, 1996.

A 51/2-year-old boy with idiopathic cardiomyopathy and rapidly worsening hemodynamic parameters underwent placement of a biventricular assist device as a bridge to transplantation. Direct anastomoses to both the aorta and pulmonary artery with Dacron grafts attached to Carmeda-coated tubing facilitated the support period. Inflow was provided by right atrial appendage and left ventricular apex cannulas. A centrifugal pump provided support for 2 days until a suitable donor was identified. The technique is simple, reproducible, and effective for patients with small body surface areas.




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