Short-term mechanical circulatory support can be life-saving in the pediatric population with acute cardiogenic shock (ACS). However, recovery from MCS is a rare entity. MCS options are limited for low-body-weight children in Turkey. Over the last decade, extracorporeal membrane oxygenation (ECMO) has been the primary bridging modality for children with end-stage heart failure in our country. However, VA-ECMO may cause increased wall stress and oxygen demand, which may alter myocardial recovery. Here, we describe using a Levitronix CentriMag Systems for biventricular support as a bridge to recovery in a 16-month-old boy (weight, 11 kg; BSA, 0.5 m2) with type A influenza related-fulminant myocarditis (FM). Levitronix CentriMag System provides a safe and efficient short-term, biventricular, paracorporeal support for infants, and small children with ACS.
RosenthalDNAlmondCSJaquissRD, et al. Adverse events in children implanted with ventricular assist devices in the United States: data from the Pediatric Interagency Registry for Mechanical Circulatory Support (PediMACS). J Heart Lung Transplant2016; 35: 569–577.
2.
ConwayJAl-AklabiMGranoskiD, et al. Supporting pediatric patients with short-term continuous-flow devices. J Heart Lung Transplant2016; 35: 603–609.
3.
SchubertSOpgen-RheinBBoehneM, et al. Severe heart failure and the need for mechanical circulatory support and heart transplantation in pediatric patients with myocarditis: results from the prospective multicenter registry “MYKKE”. Pediatr Transplant2019; 23: 135–148.
4.
GournayVHauetQ.Mechanical circulatory support for infants and small children. Arch Cardiovasc Dis2014; 107: 398–405.
5.
HasdeAISaricaogluMCDikmen YamanN, et al. Comparison of left ventricular unloading strategies on venoarterial extracorporeal life support. Interact Cardiovasc Thorac Surg. Epub ahead of print 29 November 2020. DOI: 10.1093/icvts/ivaa284.
6.
O’ConnorMJRossanoJW.Ventricular assist devices in children. Curr Opin Cardiol2014; 29:113–121.
7.
BrancaccioGAmodeoARicciZ, et al. Mechanical assist device as a bridge to heart transplantation in children less than 10 kilograms. Ann Thorac Surg2010; 90: 58–62.
8.
ZafarFCastleberryCKhanMS, et al. Pediatric heart transplant waiting list mortality in the era of ventricular assist devices. J Heart Lung Transplant2015; 34: 82–88.
9.
LinYJLiuHYKuoHC, et al. Left ventricle decompression strategies in pediatric peripheral extracorporeal membrane oxygenation. Acta Cardiol Sin2019; 35: 335–341.
10.
AiyagariRMRocchiniAPRemenappRN, et al. Decompression of the left atrium during extracorporeal membrane oxygenation using a transseptal cannula incorporated into the circuit. Crit Care Med2006; 34: 10.
11.
CoferBRWarnerBWStalionA, et al. Extracorporeal membrane oxygenation in the management of cardiac failure secondary to myocarditis. J Pediatr Surg1993; 28: 669–672.
12.
EastaughLJThiagarajanRRDarstJR, et alPercutaneous left atrial decompression in patients supported with extracorporeal membrane oxygenation for cardiac disease. Pediatr Crit Care Med2015; 16: 59–65.
13.
EckhauserAWJonesCWitteMK, et al. Transthoracic echocardiographic predictors of left atrial hypertension in patients on venoarterial extracorporeal membrane oxygenation. World J Pediatr Congenit Heart Surg2015; 5: 67–69.
14.
FalkensammerCBHeinleJSChangAC.Serial plasma BNP levels in assessing inadequate left ventricular decompression on ECMO. Pediatr Cardiol2008; 29: 808–811.
15.
FouillouxVLebrunLMaceL, et al. Extracorporeal membranous oxygenation and left atrial decompression: a fast and minimally invasive approach. Ann Thorac Surg2011; 91: 1996–1997.
16.
HackingDFBestDUdekemY, et al. Elective decompression of the left ventricle in pediatric patients may reduce the duration of venoarterial extracorporeal membrane oxygen. Artif Organs2015; 39: 319–326.
17.
KimHEJungJWShinYR, et al. Left atrial decompression by percutaneous left atrial venting cannula insertion during venoarterial extracorporeal membrane oxygenation support. Korean J Thorac Cradiovasc Surg2016; 49: 203–206.
18.
KoenigPRRalstonMAKimballTR, et al. Balloon atrial septostomy for left ventricular decompression in patients receiving extracorporeal membrane oxygenation for myocardial failure. J Pediatr1993; 122: 95–99.
19.
SandrioSSpringerWKarckM, et al. Extracorporeal life support with an integrated left ventricular vent in children with a low cardiac output. Cardiol Young2014; 24: 654–660.
20.
Veeram ReddySGuleserianKNugentAW. Transcatheter removal of atrial septal stent placed to decompress left atrium with VA ECMO. Cathete Cardiovasc Interv2015; 85: 1021–1025.
21.
WardKETuggleDWGessourounMR, et al. Transseptal decompression of the left heart during ECMO for severe myocarditis. Ann Thorac Surg1995; 59: 749–751.
22.
ZampiJAlghanemFYuS, et al. Relationship between time to left atrial decompression and outcomes in patients receiving venoarterial extracorporeal membrane oxygenation support: a multicenter pediatric interventional cardiology early-career society study. Pediatr Crit Care Med2019; 20: 728–736.
