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Central European Journal of Medicine

, Volume 7, Issue 4, pp 529–532 | Cite as

Successful experience with Levitronix PediVAS for management of acute heart failure after Fontan surgery

  • Laurynas Bezuska
  • Virgilijus Lebetkevicius
  • Kestutis Lankutis
  • Virgilijus Tarutis
Case Report
  • 66 Downloads

Abstract

An extracorporeal membrane oxygenation was long a golden standard in the pediatric population with acute cardiac failure for short-term mechanical circulatory support. It gives the limited availability of pediatric-sized pumps and the outcomes remain disproportionately poor. The Levitronix PediVAS system (Levitronix LLC, Waltham, MA) offers expanded options for short-term support for this population. We report our experience with the successful use of the PediVAS (left heart bypass) in the 3-year-old male patient as a bridge to recovery after Fontan surgery in acute heart failure. Short-term circulatory support with the Levitronix PediVAS has proven to be a less invasive, safe, and effective for our pediatric patient.

Keywords

Ventricular assist device Levitronix PediVAS Acute cardiac failure Fontan surgery 

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References

  1. [1]
    Kouretas P.C., Kaza A.K., Burch P.T., Witte M.K., Clayson S.E., Everitt M.D., et al., Experience with the Levitronix CentriMag in the pediatric population as a bridge to decision and recovery. Artif Organs 2009;33(11):1002–04PubMedCrossRefGoogle Scholar
  2. [2]
    Dasse K.A., Gellman B., Kameneva M.V., Woolley J.R., Johnson C.A., Gempp T., et al., Assessment of hydraulic performance and biocompatibility of a MagLev centrifugal pump system designed for pediatric cardiac or cardiopulmonary support. ASAIO J 2007;53(6):771–777PubMedCrossRefGoogle Scholar
  3. [3]
    Ziemba E.A., John R., Mechanical circulatory support for bridge to decision: which device and when to decide. J Card Surg 2010;25(4):425–433PubMedCrossRefGoogle Scholar
  4. [4]
    Jeewa A., Manlhiot C., McCrindle B.W., Van Arsdell G., Humpl T., Dipchand A.I., Outcomes with ventricular assist device versus extracorporeal membrane oxygenation as a bridge to pediatric heart transplantation. Artif Organs 2010 Dec; 34(12):1087–91PubMedCrossRefGoogle Scholar
  5. [5]
    Clough R.E., Vallely M.P., Henein M.Y., Pepper J.R., Levitronix ventricular assist device as a bridge-torecovery for post-cardiotomy cardiogenic shock. Int J Cardiol 2008;134:408–409PubMedCrossRefGoogle Scholar
  6. [6]
    Hirata Y., Charette K., Mosca R.S., Quaegebeur J.M., Chen J.M., Pediatric application of the Thoractec CentriMag BiVAD as a bridge to heart transplantation. J Thorac Cardiovasc Surg 2008;136:1386–1387PubMedCrossRefGoogle Scholar
  7. [7]
    Cassidy J., Haynes S., Kirk R., Crossland D., Smith J.H., Hamilton L., et al., Changing patterns of bridging to heart transplantation in children. J Heart Lung Transplant. 2009 Mar;28(3):249–54PubMedCrossRefGoogle Scholar
  8. [8]
    Reddy S.L., Hasan A., Hamilton L.R., Dark J., Schueler S.W., Bolton D.T., et al. Mechanical versus medical bridge to transplantation in children. What is the best timing for mechanical bridge? Eur J Cardiothorac Surg 2004; 25:605–609PubMedCrossRefGoogle Scholar

Copyright information

© © Versita Warsaw and Springer-Verlag Berlin Heidelberg 2012

Authors and Affiliations

  • Laurynas Bezuska
    • 1
  • Virgilijus Lebetkevicius
    • 1
    • 2
  • Kestutis Lankutis
    • 1
  • Virgilijus Tarutis
    • 1
    • 2
  1. 1.Centre of Cardiac SurgeryVilnius University Hospital Santariskiu klinikosVilniusLithuania
  2. 2.Department of cardiovascular medicineVilnius UniversityVilniusLithuania

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