First Reported Cochlear Implantation in a Child with Total Artificial Heart

被引:0
作者
Buyukatalay, Zahide Ciler [1 ]
Oghali, Ahmed Majid Naji Agha [1 ]
Kendirli, Tanil [2 ]
Can, Ozlem Selvi [3 ]
Ucar, Tayfun [4 ]
Akar, Ahmet Ruchan [5 ]
Meco, Cem [1 ,6 ]
机构
[1] Ankara Univ, Dept Otorhinolaryngol Head & Neck Surg, Ankara, Turkey
[2] Ankara Univ, Dept Pediat Intens Care, Ankara, Turkey
[3] Ankara Univ, Dept Pediat Anesthesia, Ankara, Turkey
[4] Ankara Univ, Dept Pediat Cardiol, Ankara, Turkey
[5] Ankara Univ, Dept Cardiovasc Surg, Ankara, Turkey
[6] Salzburg Paracelsus Med Univ, Dept Otorhinolaryngol Head & Neck Surg, Salzburg, Austria
关键词
Hearing loss; Heart transplant; Mechanical circulatory support; Vascular assist device; NONCARDIAC SURGERY; CARE;
D O I
10.6002/ect.2019.0304
中图分类号
R3 [基础医学]; R4 [临床医学];
学科分类号
1001 ; 1002 ; 100602 ;
摘要
We report a case of 15-year-old boy with postlingual bilateral total hearing loss following ototoxic medication during his pediatric intensive care unit stay. The patient received the SynCardia total artificial heart implant (50 mL; SynCardia Systems, Inc., Tucson, AZ, USA) for end-stage biventricular heart failure as a bridge to heart transplant. During his time on the urgent heart transplant wait list, he underwent successful cochlear implantation following optimized coagulation and hemostasis status and appropriate anesthetic preparation. Our case represents the world's first successful cochlear implant in a pediatric patient who received an artificial heart. Despite complexities in this patient population, elective surgical procedures can be performed safely with acceptable morbidity using a collaborative approach with the heart transplant team, including input from cardiovascular surgery, pediatric cardiology, anesthesiology, consultation-liaison psychiatry, physical therapy and rehabilitation, infectious diseases and clinical microbiology, and intensive care unit staff.
引用
收藏
页码:1352 / 1355
页数:4
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