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Case Reports

Hemostasis Management in Pediatric Mechanical Circulatory Support

^a Pediatric Intensive Care Unit, Inselspital, Bern, Switzerland
^b Department of Cardiovascular Surgery, Inselspital, Bern, Switzerland
^c Department of Pediatric Surgery, Inselspital, Bern, Switzerland

Accepted for publication October 9, 2007.

^_* Address correspondence to Dr Kessler, Inselspital, University of Medicine, Department of Surgical Pediatrics, Berne, 3010, Switzerland (Email: ulf.kessler{at}insel.ch).

In a 9-year-old boy, bridging to transplantation was successful with an external biventricular device, the Berlin Heart Excor (Berlin Heart, Berlin, Germany), during a 7-month period. Main long-term complications consisted of infection and hypercoagulability with clotting inside the chambers necessitating six pump exchanges, but without thromboembolic events. This report reviews hemostasis monitoring and management of long-term mechanical circulatory support.