Korean J Thorac Cardiovasc Surg.  2010 Jun;43(3):304-307. 10.5090/kjtcs.2010.43.3.304.

The Application of a Bi-ventricular Assist Device for a Low Weight (2.4 kg) Neonate with Coarctation of the Aorta and Critical Aortic Stenosis

• Kwak JG
• Park CS
• Lee CH
• Lee C

• KMID: 1455503
• DOI: http://doi.org/10.5090/kjtcs.2010.43.3.304

Abstract

A 5-day-old neonate (body weight=2.4 kg) with coarctation of the aorta and critical aortic stenosis underwent an interventional balloon valvuloplasty for aortic stenosis. During the intervention, cardiac arrest occurred due to injury of the right carotid artery by the guide wire. An extracorporeal membrane oxygenator (ECMO) was applied. After 1 day's support, total surgical correction was achieved; however, in the immediate postoperative period, cardiac function was severely depressed. We applied a bi-ventricular assist device (bi-VAD) instead of an ECMO and we were able to wean the patient off the bi-VAD device after 3 days' support. The patient was discharged without severe complications.

Keyword

Extracorporeal circulation; Neonate; Heart-assist device; Aortic stenosis; Coarctation of aorta

MeSH Terms

Aortic Coarctation
Aortic Valve Stenosis
Balloon Valvuloplasty
Carotid Arteries
Extracorporeal Circulation
Extracorporeal Membrane Oxygenation
Heart Arrest
Heart-Assist Devices
Humans
Infant, Newborn
Oxygenators, Membrane
Postoperative Period