Medical College of Wisconsin
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Aortic exclusion: a method of handling aortic insufficiency in the pediatric population needing mechanical circulatory support. Pediatr Cardiol 2011 Dec;32(8):1231-3

Date

08/03/2011

Pubmed ID

21809133

DOI

10.1007/s00246-011-0069-7

Scopus ID

2-s2.0-83555165034 (requires institutional sign-in at Scopus site)   8 Citations

Abstract

Aortic insufficiency (AI) is generally regarded as a contraindication for mechanical circulatory support in children. In the current Berlin EXCOR trial, moderate to severe AI is an exclusion criterion. There are reports in the literature of successful mechanical circulatory support (MCS) in adult patients with significant AI via "aortic exclusion" or bioprosthetic aortic valve replacement. We report the first case of aortic exclusion in an infant with moderate to severe aortic insufficiency in need of MCS.

Author List

Gandy KL, Mitchell ME, Pelech AN, Niebler RA, Hoffman G, Berger S

Authors

George M. Hoffman MD Chief, Professor in the Anesthesiology department at Medical College of Wisconsin
Michael Edward Mitchell MD Chief, Professor in the Surgery department at Medical College of Wisconsin
Robert Niebler MD Professor in the Pediatrics department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Aortic Valve
Aortic Valve Insufficiency
Cardiac Output
Contraindications
Equipment Failure
Extracorporeal Membrane Oxygenation
Heart Valve Prosthesis Implantation
Heart-Assist Devices
Humans
Infant
Male
Myocarditis
Paramyxoviridae Infections
Pulmonary Edema
Recovery of Function
Shock, Cardiogenic