ArticleThe Annals of thoracic surgery2018
Systemic Atrioventricular Valve Excision and Ventricular Assist Devices in Pediatric Patients.
Article in The Annals of thoracic surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
What it found
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Who cites it
7 citing papers in PubMed, 27 citations in OpenAlex.
- Ventricular assist devices in functionally univentricular hearts.Indian journal of thoracic and cardiovascular surgery · 2025Review
- Ventricular assist device implantation in children with a mechanical valve: An ACTION registry analysis.JHLT open · 2025Article
- Effects of systemic ventricular assist in failing Fontan patients: a theoretical analysis using a computational model.The journal of physiological sciences : JPS · 2024Article
- Contemporary Management of the Failing Fontan.Journal of clinical medicine · 2024Review
- A novel intracorporeal right ventricular assist device implantation technique in a young patient.JTCVS techniques · 2024Article
- Mechanical support for the failing single ventricle after Fontan.JTCVS techniques · 2022Article
- Management of circulatory failure after Fontan surgery.Frontiers in pediatrics · 2022Review
Corrections and comments
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
Abstract
backgroundContinuous-flow ventricular assist devices (CF VADs) designed for adults are increasingly used in pediatric patients. However, there is greater risk of device inflow obstruction as a result of size and anatomy.
methodsWe reviewed all cases of systemic atrioventricular valve (AVV) excision with HeartWare HVAD (HeartWare, Framingham, MA) implantation in the systemic ventricle performed at our institution from November 2015 to May 2016.
resultsAVV excision with CF VAD implantation was undertaken in 3 patients. Patient 1 was palliated in infancy, resulting in biventricular physiology with a systemic right ventricle, and presented at age 15 years with worsening ventricular dysfunction. After CF VAD implantation in the systemic ventricle and discharge to home, tricuspid valve obstruction to VAD inflow developed, and the patient and underwent tricuspid valve excision on postoperative day 52. Patients 2 and 3 were aged younger than 4 years, with a body surface area of 0.62 m
conclusionsCF VAD implantation with AVV excision can successfully support complex pediatric patients in a wide range of size and anatomy (small chambers, systemic right ventricles). This technique may allow for CF VAD implantation in patients previously deemed too small for such support.
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