Off-Pump Explant of a Left Ventricular Assist Device Using a Recovery Plug in a Pediatric Patient.

Geoffrion, Tracy R; Lawrence, Kendall M; O'Connor, Matthew J; Chen, Jonathan M · Ann Thorac Surg · 2021

case_report · Level V

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Abstract

Though the numbers remain small, the use of continuous-flow left ventricular assist devices as a bridge to recovery in pediatric patients has been increasing. Select patients may have sufficient myocardial recovery to allow for device removal. Here, we describe a 13-year old requiring left ventricular assist device implantation for myocarditis who was referred for explant of the device after recovery. This was performed via thoracotomy, without cardiopulmonary bypass, using a newly developed titanium recovery plug that is custom designed to fit the HeartMate 3.

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