Modified Technique for the Implantation of Berlin Heart Excor Ventricular Assist Device in Children

Phil Botha, Asif Hasan, Gianluigi Perri, Sergio Filippelli, Massimo Griselli

Research output: Contribution to journalArticlepeer-review

Abstract

The Berlin Heart Excor (BHE) assist device has become our standard mechanical support device for long-term support in children with heart failure. We report two useful surgical modifications for the implantation of the BHE in the pediatric population, improving ease of implantation as well as subsequent surgical procedures at the time of explantation or transplantation. The first modification entails the use of a polytetrafluoroethylene graft for cannulation via the innominate artery for arterial perfusion during cardiopulmonary bypass. This graft is preserved and reused for institution of bypass at the time of transplantation or explantation of the device after recovery. The second modification consists of an extension of the BHE arterial cannula using a length of knitted polyester graft. This allows for improved positioning of the arterial cannula in the ascending aorta or main pulmonary artery, facilitates vascular anastomosis, and improves hemostasis.

Original languageEnglish (US)
Pages (from-to)373-377
Number of pages5
JournalWorld Journal for Pediatric and Congenital Heart Surgery
Volume3
Issue number3
DOIs
StatePublished - Jul 2012
Externally publishedYes

Keywords

  • CPB components and configurations
  • circulatory assist devices
  • congenital heart surgery
  • transplantation heart

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