The Application of a Bi-ventricular Assist Device for a Low Weight (2.4 kg) Neonate with Coarctation of the Aorta and Critical Aortic Stenosis.
10.5090/kjtcs.2010.43.3.304
- Author:
Jae Gun KWAK
1
;
Chun Soo PARK
;
Chang Ha LEE
;
Cheul LEE
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Sejong General Hospital, Korea. leechha@sejongh.co.kr
- Publication Type:Case Report
- Keywords:
Extracorporeal circulation;
Neonate;
Heart-assist device;
Aortic stenosis;
Coarctation of aorta
- MeSH:
Aortic Coarctation;
Aortic Valve Stenosis;
Balloon Valvuloplasty;
Carotid Arteries;
Extracorporeal Circulation;
Extracorporeal Membrane Oxygenation;
Heart Arrest;
Heart-Assist Devices;
Humans;
Infant, Newborn;
Oxygenators, Membrane;
Postoperative Period
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2010;43(3):304-307
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A 5-day-old neonate (body weight=2.4 kg) with coarctation of the aorta and critical aortic stenosis underwent an interventional balloon valvuloplasty for aortic stenosis. During the intervention, cardiac arrest occurred due to injury of the right carotid artery by the guide wire. An extracorporeal membrane oxygenator (ECMO) was applied. After 1 day's support, total surgical correction was achieved; however, in the immediate postoperative period, cardiac function was severely depressed. We applied a bi-ventricular assist device (bi-VAD) instead of an ECMO and we were able to wean the patient off the bi-VAD device after 3 days' support. The patient was discharged without severe complications.
