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, Cardiac Center, The Children’s Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania
†Division of Cardiology, the Children’s Hospital of Philadelphia, Perelman School of Medicine and the University of Pennsylvania, 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: firstname.lastname@example.org.