ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Michael Weyand
Christof Schmid
Hans H. Scheld
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Weyand, M.
Right arrow Articles by Scheld, H. H.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Weyand, M.
Right arrow Articles by Scheld, H. H.

Ann Thorac Surg 1998;66:519-522
© 1998 The Society of Thoracic Surgeons

Original articles: cardiovascular

Neonatal mechanical bridging to total orthotopic heart transplantation

Michael Weyand, MDa, Deniz Kececioglu, MDb, Hans G. Kehl, MDb, Christof Schmid, MDa, Heinz M. Loick, MDc, Johannes Vogt, MDb, Hans H. Scheld, MDa

a Department of Cardiothoracic Surgery, Westfalian Wilhelms University, Münster, Germany
b Department of Pediatric Cardiology, Westfalian Wilhelms University, Münster, Germany
c Department of Anesthesia and Intensive Care Medicine, Westfalian Wilhelms University, Münster, Germany

Accepted for publication March 13, 1998.

Address reprint requests to Dr Weyand, Department of Cardiothoracic Surgery, Westfalian Wilhelms University, Albert Schweitzer Str 33, 48129 Münster, Germany

Background. Until recently, newborns with medically intractable cardiac failure caused by congenital malformations were mostly doomed to death because of the severity of the disease, which precludes a palliative operation, or because of fatal deterioration before availability of a suitable donor heart.

Methods. The recently developed paracorporeal pneumatically driven Medos HIA ventricular assist device offers a therapeutic option for these small infants because it is manufactured in various sizes and is even suitable for cardiac assistance in neonates with a body surface area less than 0.3 m2.

Results. We report our initial experience with this device, which we used for univentricular bridging to total orthotopic cardiac transplantation in 3 infants. The device was inserted to support the left ventricle in two instances and to support the right heart in one. Successful bridging to transplantation was achieved in 2 infants for periods of 2 and 7 weeks.

Conclusions. Our experience demonstrates the feasibility of univentricular mechanical support followed by successful cardiac transplantation in infants and newborns.




This article has been cited by other articles:


Home page
 ICVTSHome page
D. Camboni, C. Schmid, G. Rellensmann, and T. D.T. Tjan
Enoxiparin for long-term anticoagulation with the pediatric EXCOR left ventricular assist device
Interactive CardioVascular and Thoracic Surgery, December 1, 2005; 4(6): 561 - 562.
[Abstract] [Full Text] [PDF]

Home page
 PerfusionHome page
A K Mahmood, J M Courtney, S Westaby, M Akdis, and H Reul
Critical review of current left ventricular assist devices
Perfusion, September 1, 2000; 15(5): 399 - 420.
[PDF]

Home page
 Ann. Thorac. Surg.Home page
G. B. Di Russo, B. J. Clark, N. D. Bridges, R. I. Godinez, S. M. Paridon, T. L. Spray, and J. W. Gaynor
Prolonged extracorporeal membrane oxygenation as a bridge to cardiac transplantation
Ann. Thorac. Surg., March 1, 2000; 69(3): 925 - 927.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 1998 by The Society of Thoracic Surgeons.