Heart Failure in Children - Mechanical Assistance

M. Deiwick; A. Hoffmeier; T. D. T. Tjan; T. Krasemann; C. Schmid; H. H. Scheld

doi:10.1055/s-2004-830453

The Thoracic and Cardiovascular Surgeon, Table of Contents

Thorac Cardiovasc Surg 2005; 53: S135-S140
DOI: 10.1055/s-2004-830453

Original

Heart Failure in Children - Mechanical Assistance

M. Deiwick¹ , A. Hoffmeier¹ , T. D. T. Tjan¹ , T. Krasemann² , C. Schmid¹ , H. H. Scheld¹

¹Department of Thoracic and Cardiovascular Surgery, University Hospital Münster, Münster, Germany
²Department of Pediatric Cardiology, University Hospital Münster, Münster, Germany

Abstract

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Abstract

The use of mechanical circulatory support for the treatment of heart failure in the pediatric population has become increasingly important in pediatric heart surgery units; however, the treatment options for the pediatric population have not attained the same level of technological development as we have seen for the adult population. The use of mechanical assistance as a bridge to transplantation or a bridge to recovery are the main indications for mechanical circulatory support in infants and children. The problem of organ donor shortage is even worse compared to the situation in the field of adult heart transplantations. Especially in Europe however, newly developed pulsatile, paracorporeal ventricular assist devices designed for long-term assist in children have demonstrated their ability to provide excellent results beyond the abilities of extracorporeal membrane oxygenation and centrifugal pumps, which are still the mainstay of mechanical support in children worldwide. Especially in the group of the smallest patients, the use of the most appropriate form of circulatory assistance has to be carefully considered as the co-incidence of respiratory failure as well as other complex physiological situations will severely influence the outcome.

Key words

Heart failure - children - infants - mechanical assistance - heart transplantation

Full Text

References

1 Deng C D, Loebe M, El-Banayosy A. et al . Mechanical circulation support of advanced heart failure. Circulation. 2001; 103 231-237
2 Fou A A, Gibbon J H. The first 20 years of the heart-lung machine. Tex Heart Inst J. 1997; 24 1-8
3 Goldstein D J, Oz M C, Rose E A. Implantable left ventricular assist devices. New Engl J Med. 1998; 339 1522-1533
4 Copeland J G, Levinson M M, Smith R. et al . The total artificial heart as a bridge to transplantation. A report of two cases. JAMA. 1986; 256 2991-2995
5 Copeland J G, Smith R G, Icenogle T B, Rhenman B, Williams R, Vasu M A. Early experience with the total artificial heart as a bridge to cardiac transplantation. Surg Clin N Am. 1988; 68 621-634
6 Reinhartz O, Keith F M, El-Banayosy A. et al . Multicenter experience with the Thoratec ventricular assist device in children and adolescents. J Heart Lung Transpl. 2001; 20 439-448
7 Frazier O H, Myers T J, Westaby S, Gregoric I D. Use of the Jarvik 2000 left ventricular assist system as a bridge to heart transplantation or as destination therapy for patients with chronic heart failure. Ann Surg. 2003; 237 631-636 discussion 636-637
8 Goldstein D J. Worldwide experience with the MicroMed DeBakey Ventricular Assist Device as a bridge to transplantation. Circulation. 2003; 108 II272-277
9 Vitali E, Lanfranconi M, Ribera E. et al . Successful experience in bridging patients to heart transplantation with the MicroMed DeBakey ventricular assist device. Ann Thorac Surg. 2003; 75 1200-1204
10 Pollock J C, Charlton M C, Williams W G, Edmonds J F, Trusler G A. Intraaortic balloon pumping in children. Ann Thorac Surg. 1980; 29 522-528
11 Duncan B W, Hraska V, Jonas R A. et al . Mechanical circulatory support in children with cardiac disease. J Thorac Cardiovasc Surg. 1999; 117 529-542
12 Jacobs J P, Ojito J W, McConaghey T W. et al . Rapid cardiopulmonary support for children with complex congenital heart disease. Ann Thorac Surg. 2000; 70 742-750
13 Duncan B W. Mechanical circulatory support for infants and children with cardiac disease. Ann Thorac Surg. 2002; 73 1670-1677
14 Eugene J, McColgan S J, Roohk H V, Ott R A. Vented ECMO for biventricular failure. ASAIO Trans. 1987; 33 579-583
15 O'Connor T A, Downing G J, Ewing L L, Gowdamarajan R. Echocardiographically guided balloon atrial septostomy during extracorporeal membrane oxygenation (ECMO). Pediatr Cardiol. 1993; 14 167-168
16 del Nido P J, Duncan B W, Mayer Jr J E, Wessel D L, LaPierre R A, Jonas R A. Left ventricular assist device improves survival in children with left ventricular dysfunction after repair of anomalous origin of the left coronary artery from the pulmonary artery. Ann Thorac Surg. 1999; 67 169-172
17 Black M D, Coles J G, Williams W G. et al . Determinants of success in pediatric cardiac patients undergoing extracorporeal membrane oxygenation. Ann Thorac Surg. 1995; 60 133-138
18 Walters H L, Hakimi M, Rice M D, Lyons J M, Whittlesey G C, Klein M D. Pediatric cardiac surgical ECMO: multivariate analysis of risk factors for hospital death. Ann Thorac Surg. 1995; 60 329-337
19 Ibrahim A E, Duncan B W, Blume E D, Jonas R A. Long-term follow-up of pediatric cardiac patients requiring mechanical circulatory support. Ann Thorac Surg. 2000; 69 186-192
20 Korfer R, El-Banayosy A, Arusoglu L. et al . Single-center experience with the Thoratec ventricular assist device. J Thorac Cardiovasc Surg. 2000; 119 596-600
21 McBride L R, Naunheim K S, Fiore A C, Moroney D A, Swartz M T. Clinical experience with 111 Thoratec ventricular assist devices. Ann Thorac Surg. 1999; 67 1233-1239
22 Copeland J G, Arabia F A, Smith R G. Bridge to transplantation with a Thoratec left ventricular assist device in a 17-kg child. Ann Thorac Surg. 2001; 71 1003-1004
23 Hetzer R, Loebe M, Potapov E V. et al . Circulatory support with pneumatic paracorporeal ventricular assist device in infants and children. Ann Thorac Surg. 1998; 66 1498-1506
24 Konertz W, Hotz H, Schneider M, Redlin M, Reul H. Clinical experience with the MEDOS HIA-VAD system in infants and children: a preliminary report. Ann Thorac Surg. 1997; 63 1138-1144
25 Martin J, Sarai K, Schindler M, Van de Loo A, Yoshitake M, Beyersdorf F. Medos HIA-VAD biventricular assist device for bridge to recovery in fulminant myocarditis. Ann Thorac Surg. 1997; 63 1145-1146
26 Sidiropoulos A, Hotz H, Konertz W. Pediatric circulatory support. J Heart Lung Trans. 1998; 17 1172-1176
27 Weyand M, Kececioglu D, Kehl H G. et al . Neonatal mechanical bridging to total orthotopic heart transplantation. Ann Thorac Surg. 1998; 66 519-522
28 Ungerleider R M, Shen I, Yeh T. et al . Routine mechanical ventricular assist following the Norwood procedure - Improved neurologic outcome and excellent hospital survival. Ann Thorac Surg. 2004; 77 18-22
29 Reddy S L, Hasan A, Hamilton L R. et al . Mechanical versus medical bridge to transplantation in children. What is the best timing for mechanical bridge?. Eur J Cardio-Thorac Surg. 2004; 25 605-609
30 Duncan B W, Bohn D J, Atz A M, French J W, Laussen P C, Wessel D L. Mechanical circulatory support for the treatment of children with acute fulminant myocarditis. J Thorac Cardiovasc Surg. 2001; 122 440-448
31 ECMO Registy Report. Ann Arbor; Extracorporeal Life Support Organization 1999

Priv.-Doz. Dr. med. Michael Deiwick

Klinik und Poliklinik für Thorax-, Herz- und Gefäßchirurgie, Universitätsklinikum Münster

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48149 Münster

Germany

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Email: michael.deiwick@ukmuenster.de