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Ann Thorac Surg 2002;73:1670-1677
© 2002 The Society of Thoracic Surgeons


Review

Mechanical circulatory support for infants and children with cardiac disease

Brian W. Duncan, MD*a

a Pediatric and Congenital Heart Surgery, Cleveland Clinic Children’s Hospital, Cleveland, Ohio, USA

* Address reprint requests to Dr Duncan, The Cleveland Clinic Foundation, Pediatric and Congenital Heart Surgery/M41, 9500 Euclid Ave, Cleveland, OH 44195 USA
e-mail: duncanb{at}ccf.org

Mechanical circulatory support is assuming an expanding role in the practice of congenital cardiac surgery. Extracorporeal membrane oxygenation and centrifugal ventricular assist devices are still the mainstay of mechanical circulatory support for children; however, newly developed pulsatile, paracorporeal ventricular assist devices designed for pediatric applications are achieving increased utilization. In addition, several new, continuous flow devices that are under development as fully implantable systems for adults, ultimately may be useful for pediatric patients.




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