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Michael W.A. Chu
Kapil Sharma
Christo I. Tchervenkov
Eric Laliberte
Christos Calaritis
Renzo Cecere
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Ann Thorac Surg 2007;83:1179-1181
© 2007 The Society of Thoracic Surgeons

Case Reports

Berlin Heart Ventricular Assist Device in a Child With Hypoplastic Left Heart Syndrome

Michael W.A. Chu, MDa,e, Kapil Sharma, MDa, Christo I. Tchervenkov, MDa, Luc F. Jutras, MDb, Josée Lavoie, MDc, Sam D. Shemie, MDd, Eric Laliberte, CPC/CCPa, Christos Calaritis, BS, CPC/CCPa, Renzo Cecere, MDa,*

a Division of Pediatric Cardiovascular Surgery, Montreal Children’s Hospital, Montréal, Québec
b Division of Pediatric Cardiology, Montreal Children’s Hospital, Montréal, Québec
c Division of Pediatric Anesthesia, Montreal Children’s Hospital, Montréal, Québec
d Division of Pediatric Critical Care Medicine, Montreal Children’s Hospital, Montréal, Québec
e Division of Cardiac Surgery, University of Western Ontario, London, Ontario

Accepted for publication August 9, 2006.

* Address correspondence to Dr Cecere, Montréal Children’s Hospital, 2300 Tupper St, Room C-829, Montréal, Québec H3H 1P3, Canada (Email: renzo.cecere{at}muhc.mcgill.ca).

We report the implantation of a Berlin Heart ventricular assist device (VAD) in a 4-year-old boy with hypoplastic left heart syndrome previously palliated with Norwood and Glenn operations, who presented with progressive ventricular failure and hypoxemia. Insertion of a 30-mL pneumatic pediatric pump with cannulation of the systemic right ventricle and aorta had a salutary effect on cardiac output, improving oxygen saturations. While awaiting heart transplantation, multiple thromboembolic complications developed and he died, despite therapeutic heparinization and aspirin therapy. Important lessons learned about VAD support in Glenn physiology, anticoagulation, and complications of the Berlin Heart are discussed.






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