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Biventricular assistance with 2 hm3 in a small chest patient: extra-pericardial implant

  • Case Report
  • Artificial Heart (Clinical)
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Abstract

We describe the clinical course and treatment of a 53-year-old female, with small chest dimensions, referred to our institution for a primary cardiogenic shock. The patient underwent an on-pump left ventricular assist-device (VAD) implantation with the aid of immediate post-operative paracorporeal right-VAD assistance for an acute right ventricular failure. After two unsuccessful weaning attempts, she underwent extrapericardial HM 3 RVAD implantation.

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References

  1. Soliman O II, Akin S, Muslem R, Boersma E, Manintveld OC, Krabatsch T, Gummert JF, de By TMMH, Bogers AJJC, Zijlstra F, Mohacsi P, Caliskan K, EUROMACS Investigators. Derivation and validation of a novel right-sided heart failure model after implantation of continuous flow left ventricular assist devices: The EUROMACS (European Registry for Patients with Mechanical Circulatory Support) right-sided heart failure risk score. Circulation. 2018;137:891–906.

    Article  Google Scholar 

  2. Potapov EV, Kukucka M, Falk V, Krabatsch T. Biventricular support using 2 HeartMate 3 pumps. J Heart Lung Transplan. 2016;35:1268–70.

    Article  Google Scholar 

  3. Carrozzini M, Bejko J, Guariento A, Rubino M, Bianco R, Tarzia V, Gregori D, Bottio T, Gerosa G. Minimally invasive implantation of continuous flow left ventricular assist devices: the evolution of surgical techniques in a single-center experience. Artif Organs. 2019;43:E41–E52.

    Article  Google Scholar 

  4. Carrozzini M, Bejko J, Gerosa G, Bottio T. Bilateral mini-thoracotomy approach for minimally invasive implantation of HeartMate 3. Artif Organs. 2019;43:593–5.

    Article  Google Scholar 

  5. Kirklin JK, Pagani FD, Kormos RL, Stevenson LW, Blume ED, Myers SL, Miller MA, Baldwin JT, Young JB, Naftel DC. Eighth annual INTERMACS report: special focus on framing the impact of adverse events. J Heart Lung Transplan. 2017;36:1080–6.

    Article  Google Scholar 

  6. Carrozzini M, Bejko J, Gambino A, Tarzia V, Lanera C, Gregori D, Gerosa G, Bottio T. Results of new-generation intrapericardial continuous flow left ventricular assist devices as a bridge-to-transplant. J Cardiovasc Med (Hagerstown). 2018;19:739–47.

    Article  Google Scholar 

  7. Schulz A, Potapov E, Cho MY. Intracorporeal Biventricular Assist Device Therapy in an 8-Year-Old Child. Semin Thorac Cardiovasc Surg. 2019;31:110–1.

    Article  Google Scholar 

  8. Mehra MR, Uriel N, Naka Y, Cleveland JCJ, Yuzefpolskaya M, Salerno CT, Walsh MN, Milano CA, Patel CB, Hutchins SW, Ransom J, Ewald GA, Itoh A, Raval NY, Silvestry SC, Cogswell R, John R, Bhimaraj A, Bruckner BA, Lowes BD, Um JY, Jeevanandam V, Sayer G, Mangi AA, Molina EJ, Sheikh F, Aaronson K, Pagani FD, Cotts WG, Tatooles AJ, Babu A, Chomsky D, Katz JN, Tessmann PB, Dean D, Krishnamoorthy A, Chuang J, Topuria I, Sood P, Goldstein DJ, MOMENTUM 3 Investigators. A fully magnetically levitated left ventricular assist device - final report. N Engl J Med. 2019;380:1618–27.

    Article  Google Scholar 

  9. O'Connor MJ, Lorts A, Davies RR, Fynn-Thompson F, Joong A, Maeda K, Mascio CE, McConnell PI, Mongé MC, Nandi D, Peng DM, Rosenthal DN, Si MS, Sutcliffe DL, VanderPluym CJ, Viegas M, Zafar F, Zinn M, Morales DLS. Early experience with the HeartMate 3 continuous-flow ventricular assist device in pediatric patients and patients with congenital heart disease: a multicenter registry analysis. J Heart Lung Transplant. 2020;39:573–9.

    Article  Google Scholar 

  10. Krabatsch T, Potapov E, Stepanenko A, Schweiger M, Kukucka M, Huebler M, Hennig E, Hetzer R. Biventricular circulatory support with two miniaturized implantable assist devices. Circulation. 2011;124:S179–S186186.

    Article  Google Scholar 

  11. Strueber M, Meyer AL, Malehsa D, Haverich A. Successful use of the HeartWare HVAD rotary blood pump for biventricular support. J Thorac Cardiovasc Surg. 2010;140:936–7. https://doi.org/10.1016/j.jtcvs.2010.04.007.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Cardiac Surgery Unit, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua, Via Giustiniani 2, 35128, Padua, Italy

    Giulio Folino, Antonio Piperata, Jonida Bejko, Gino Gerosa & Tomaso Bottio

Authors
  1. Giulio Folino
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  2. Antonio Piperata
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  3. Jonida Bejko
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  4. Gino Gerosa
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  5. Tomaso Bottio
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Correspondence to Giulio Folino or Tomaso Bottio.

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All authors have no conflicts of interest or financial conflicts to disclose. No funding source was provided for this study.

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Folino, G., Piperata, A., Bejko, J. et al. Biventricular assistance with 2 hm3 in a small chest patient: extra-pericardial implant. J Artif Organs 24, 261–264 (2021). https://doi.org/10.1007/s10047-020-01200-0

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  • DOI: https://doi.org/10.1007/s10047-020-01200-0

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