VAD as Bridge to Recovery in Anthracycline-Induced Cardiomyopathy and HHV6 Myocarditis

被引：21

作者：

Cavigelli-Brunner, Anna ^{[1
,3
]}

Schweiger, Martin ^{[2
,3
]}

Knirsch, Walter ^{[1
,3
]}

Stiasny, Brian ^{[1
,3
]}

Klingel, Karin ^{[4
]}

Kretschmar, Oliver ^{[1
,3
]}

Huebler, Michael ^{[2
,3
]}

机构：

[1] Univ Childrens Hosp, Div Pediat Cardiol, CH-8032 Zurich, Switzerland

[2] Univ Childrens Hosp, Div Congenital Cardiovasc Surg, CH-8032 Zurich, Switzerland

[3] Univ Childrens Hosp, Childrens Res Ctr, CH-8032 Zurich, Switzerland

[4] Univ Tubingen, Dept Mol Pathol, Tubingen, Germany

来源：

PEDIATRICS | 2014年 / 134卷 / 03期

关键词：

assist device; cardiomyopathy; congestive heart failure; VENTRICULAR ASSIST DEVICE; HEART-FAILURE; CHILDREN; SUPPORT; TRANSPLANTATION; REVERSAL; HVAD;

D O I：

10.1542/peds.2013-2272

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

This report describes an 8-year-old child with acute anthracycline-induced cardiomyopathy triggered by human herpesvirus 6 and the subsequent implantation of an intracorporeal continuous-flow left ventricular assist device (LVAD) and the process to discharge the child from the hospital. After barely 3 months on mechanical support, the device was explanted after thorough examination. Experiences regarding LVAD removal are limited, and no guidelines for echocardiographic and hemodynamic criteria for LVAD removal in children have been published thus far. We present our institutional algorithm for device selection, surveillance in an ambulatory setting, and testing for myocardial recovery, as well as our criteria for LVAD explantation in children.

引用

页码：E894 / E899

页数：6

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