Heart Transplant and Advanced Cardiac Therapies Program, Children's National Heart Institute, Children's National Health System, Washington, DC, USA.
Division of Cardiovascular Surgery, Children's National Heart Institute, Children's National Health System, Washington, DC, USA.
Int J Artif Organs. 2020 Sep;43(9):625-628. doi: 10.1177/0391398820901828. Epub 2020 Jan 29.
Utilization of Berlin Excor as a pediatric bridge to transplantation device continues to increase. Thromboembolic complications continue to be an important morbidity related to ventricular assist devices. Obstructions to the device cannulae are rare but potentially life-threatening complications of ventricular assist devices, but inflow cannula obstruction is hitherto unreported. We present a case of a 4-year-old supported with Berlin BiVAD who demonstrated acute decompensation related to thrombus within the left atrial cannula. We describe the diagnosis, intervention, as well as novel rescue using existing cannulae for extracorporeal membrane oxygenation support.
柏林体外膜肺氧合（Berlin Excor）作为小儿心脏移植桥接装置的应用持续增加。血栓栓塞并发症仍然是与心室辅助装置相关的重要发病率。装置套管的阻塞虽然罕见，但却是心室辅助装置潜在的危及生命的并发症，而流入套管的阻塞迄今尚未见报道。我们报告了一例使用柏林双心室辅助装置（Berlin BiVAD）支持的 4 岁儿童，该患儿因左心房套管内血栓形成而出现急性失代偿。我们描述了诊断、干预措施，以及使用现有套管进行体外膜肺氧合（ECMO）支持的新型抢救方法。
