The hemostatic history of a 15-month-old child implanted with a Berlin Heart left ventricular assist device

Brad L. Steenwyk, James K. Kirklin, William Q. Gurley, Vance G. Nielsen

Research output: Contribution to journalArticle

7 Scopus citations

Abstract

We documented the hemostatic changes associated with placement of a EXCOR® Berlin Heart left ventricular assist device in a 15-month-old child before heart transplantation. The development of hypercoagulability was rapid, manifested first by a plasmatic and subsequently platelet-mediated increase in coagulation kinetics and strength that persisted for weeks. The patient had no thrombotic complications for 6 wk before transplant but required extraordinary blood product administration to achieve hemostasis secondary to aggressive, multimodal anticoagulation. In summary, when proscribing anesthetic and surgical management of patients with a Berlin Heart, consideration of hypercoagulable features and anticoagulant therapy must be made to maximize patient safety.

Original languageEnglish (US)
Pages (from-to)538-540
Number of pages3
JournalAnesthesia and analgesia
Volume104
Issue number3
DOIs
StatePublished - Mar 1 2007
Externally publishedYes

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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