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Journals
Journal of Cardiovascular Emergencies
Volume 10 (2024): Issue 1 (March 2024)
Open Access
First Pediatric HeartMate 3 Ventricular Assist Device Implantation in Romania – a Case Report
Iolanda Muntean
Iolanda Muntean
,
Diana-Ramona Iurian
Diana-Ramona Iurian
,
Dan Octavian Nistor
Dan Octavian Nistor
,
Asmaa Carla Barmou
Asmaa Carla Barmou
and
Horațiu Suciu
Horațiu Suciu
| Feb 18, 2024
Journal of Cardiovascular Emergencies
Volume 10 (2024): Issue 1 (March 2024)
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Article Category:
Case Report
Published Online:
Feb 18, 2024
Page range:
48 - 53
Received:
Dec 04, 2023
Accepted:
Jan 23, 2024
DOI:
https://doi.org/10.2478/jce-2024-0003
Keywords
HeartMate 3
,
left ventricular assist device
,
bridge-to-transplantation therapy
,
dilated cardiomyopathy
,
pediatric heart failure
© 2024 Iolanda Muntean et al., published by Sciendo
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.
FIGURE 1.
Automated 2D assessment of the LV deformation in the longitudinal planes of all the standard views (A4C, A2C, A3C). LV GLS (−5.5%). Bulls eye of the LV for longitudinal strain assessment.
FIGURE 2.
Apical cannulation using the ‘first sew then core’ method. A. Attachment of the Apical Cuff to the myocardium by sutures. B. After removing core, inspection of the ventricular cavity. C. Establishing the pump orientation in the desired position.
FIGURE 3.
Perioperative TEE, after LVAD implantation. A. Mid-esophageal LV view. The inflow cannula (IC) lies within the LV apex, almost parallel to the interventricular septum and is directed toward the mitral valve. The interventricular septum is in medium position. B. Real-time 3D imaging of the inflow cannula (IC). C. PW spectral Doppler interrogation of the inflow cannula reveals a low velocity (0.9 m/s), laminar, unidirectional flow from the LV towards the inflow cannula. D. M-mode imaging of the aortic valve shows too frequent aortic valve opening at every cardiac cycle (^). E. 3D imaging of the outflow graft in the modified bicaval view. F, PW Doppler interrogation of the outflow graft reveal a low velocity flow (1–1.4 m/s)
FIGURE 4.
In the event log-file, in the first 2 days after HM3 implantation there were several low-flow alarms because of hypovolemia, which were managed with volume supplementation.