HeartMate III as a Bridge to Transplantation in an Adolescent With Failed Fontan Circulation

Gamal Marey; Kristy M McHugh; Alyssa M Sakhitab-Kerestes; Subin Jang; Marie E Steiner; Ranjit John; Martina Richtsfeld; Sameh M Said; Rebecca Ameduri; Massimo Griselli

doi:10.1016/j.jaccas.2019.09.013

HeartMate III as a Bridge to Transplantation in an Adolescent With Failed Fontan Circulation

JACC Case Rep. 2019 Nov 13;1(4):512-515. doi: 10.1016/j.jaccas.2019.09.013. eCollection 2019 Dec.

Affiliations

¹ Department of Surgery, University of Minnesota Masonic Children's Hospital, Minneapolis, Minnesota.
² Department of Solid Organ Transplant, Fairview, Minneapolis, Minnesota.
³ Department of Pediatrics, University of Minnesota Masonic Children's Hospital, Minneapolis, Minnesota.
⁴ Department of Surgery, University of Minnesota, Minneapolis, Minnesota.
⁵ Department of Anesthesiology, University of Minnesota Masonic Children's Hospital, Minneapolis, Minnesota.

Abstract

HeartMate III is an emerging, small-sized centrifugal ventricular assist device. Its lower pump thrombosis and stroke rates make it favorable for use in pediatrics. We report the use of HeartMate III as a bridge to transplantation in an adolescent with failed Fontan circulation. (Level of Difficulty: Advanced.).

Keywords: BTT, bridge to transplant; DT, destination therapy; HTx, heart transplant; SV, single ventricle; TEE, transesophageal echocardiography; VA-ECMO, veno-arterial extracorporeal membrane oxygenator; VAD, ventricular assist device; cardiac assist devices; cardiac transplant; congenital heart defect.

Publication types

Case Reports