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HeartWare Ventricular Assist Device as a Bridge-to-Transplant in a Small Boy with Complicated Kawasaki Disease

Mascio, Christopher E.*; Malankar, Dhananjay P.*; Rome, Jonathan J.

doi: 10.1097/MAT.0000000000000633
Clinical Cardiovascular: PDF Only

We report a case of HeartWare ventricular assist device (HVAD) implant as a Bridge-to-Transplant in the smallest and the youngest known patient, a 32-month-old boy (body surface area of 0.66 m2) with known Kawasaki disease and giant coronary artery aneurysms. The disease course was complicated by coronary thromboembolism resulting in acute myocardial infarction, ventricular fibrillation, and cardiac arrest. After short-term support with extracorporeal membrane oxygenation for 7 days and long-term support with an HVAD for 5 months, he underwent heart transplantation and is doing well 2 months after the transplant.

From the *Division of Cardiothoracic Surgery, The Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania; and Division of Cardiology, The Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania.

Submitted for consideration December 2016; accepted for publication in revised form March 2017.

Disclosure: The authors have no conflicts of interest to report.

Correspondence: Dhananjay Malankar, Department of Congenital Cardiothoracic Surgery, The Children’s Hospital of Philadelphia, 3401, Civic center boulevard, Philadelphia, PA 19104. Email:

Copyright © 2018 by the American Society for Artificial Internal Organs