Furuta Akihisa, Shinkawa Takeshi, Ichihara Yuki, Yoshida Hisashi, Niinami Hiroshi
Department of Cardiovascular Surgery, Tokyo Women's Medical University, The Heart Institute of Japan, Tokyo, Japan.
Ann Thorac Surg Short Rep. 2024 May 4;2(3):404-406. doi: 10.1016/j.atssr.2024.04.015. eCollection 2024 Sep.
An implantable ventricular assist device became smaller and has been used for small body size patients. However, it is still challenging to determine whether it is implantable for pediatric patients. The preoperative computed tomography virtual simulation provided spatial information among the pump, intracardiac structures, and extracardiac structures, which was very useful to assess the implantability for borderline children. We present a 9-year-old girl with dilated cardiomyopathy (weight, 20.0 kg; body surface area, 0.86 m) and an 8-year-old boy with Marfan syndrome with severe ventricular dysfunction (weight, 25.0 kg; body surface area, 1.05 m), who had preoperative virtual simulation and subsequent successful HeartMate 3 (Abbott Cardiovascular) implantation.
可植入式心室辅助装置体积变小，已用于体型较小的患者。然而，确定其是否适用于儿科患者仍具有挑战性。术前计算机断层扫描虚拟模拟提供了泵、心内结构和心外结构之间的空间信息，这对于评估临界儿童的植入可行性非常有用。我们报告了一名9岁扩张型心肌病女孩（体重20.0 kg；体表面积0.86 m²）和一名8岁患有严重心室功能障碍的马凡综合征男孩（体重25.0 kg；体表面积1.05 m²），他们术前进行了虚拟模拟，随后成功植入了HeartMate 3（雅培心血管公司）。
