CASE OF SUCCESSFUL IMPLANTATION OF A FULLY MAGNETICALLY LEVITATED LEFT VENTRICULAR ASSIST DEVICE TO A 3-YEAR-OLD PATIENT WITH BODY SURFACE AREA OF 0.51 m2
https://doi.org/10.17802/2306-1278-2026-15-1-126-130
Abstract
Highlights
Mechanical circulatory support is a promising developing technology in patients with refractory heart failure and the impossibility of performing a heart transplant. The article presents the experience of using this technology in a child with the smallest body surface area in world practice. The use of long-term mechanical support of the left ventricle in a young child in our observation did not have specific complications during the observation period up to 1 year.
Absract
Mechanical circulatory support in children with end-stage heart failure remains important in the treatment of this group of patients. The use of the safest and most effective devices with a fully magnetically levitating operating mechanism has a number of limitations, including those associated with the small surface area of patients [1]. We provide a clinical case of successful implantation of the Heart Mate III device in a 3-year-old child with the smallest recorded body surface area of 0.51 m2.
About the Authors
Vyacheslav A. BelovRussian Federation
Chief Physician, Federal Center for Cardiovascular Surgery Named after S.G. Sukhanov (Perm), Perm, Russian Federation
Pyotr V. Lazarkov
Russian Federation
PhD, Cardiovascular Surgeon, Federal Center for Cardiovascular Surgery Named after S.G. Sukhanov (Perm), Perm, Russian Federation
Roman M. Shekhmametyev
Russian Federation
Cardiovascular Surgeon, Head of Cardiac Surgery Department No. 4, Federal Center for Cardiovascular Surgery Named after S.G. Sukhanov (Perm), Perm, Russian Federation
Alexey N. Biyanov
Russian Federation
PhD, Pediatric Cardiologist, Federal Center for Cardiovascular Surgery Named after S.G. Sukhanov (Perm), Perm, Russian Federation
References
1. Peng D. M., Davies R. R., Simpson K. E., Shugh S. B., Morales D. L. S., Jacobs J. P., Butto A., Joong A., Conway J., Schindler K., Griffiths E. R., Koehl D., Cantor R. S., Kirklin J. K., Rossano J. W., Adachi I., Pedimacs Investigators . Seventh Annual Society of Thoracic Surgeons Pedimacs Report. The Annals of thoracic surgery, 2024. 117(4), 690–703. https://doi.org/10.1016/j.athoracsur.2023.11.035
2. Shaddy R. E., George A. T., Jaecklin T., Lochlainn E. N., Thakur L., Agrawal R., Solar-Yohay S., Chen F., Rossano J. W., Severin T., Burch M. Systematic Literature Review on the Incidence and Prevalence of Heart Failure in Children and Adolescents. Pediatric cardiology, 2018. 39(3), 415–436. https://doi.org/10.1007/s00246-017-1787-2
3. Klinicheskie rekomendacii – Transplantaciya serdcza, nalichie transplantirovannogo serdcza, otmiranie i ottorzhenie transplantata serdcza – 2023-2024-2025 (16.03.2023) – Utverzhdeny` Minzdravom RF. Rezhim dostupa. Data obrashheniya http://disuria.ru/load/zakonodatelstvo/klinicheskie_rekomendacii_protokoly_lechenija/54
4. Spinner J. A., Tunuguntla H. P., Tume S. C., Elias B. A., Mcmullen J., John R., Choudhry S., Price J. F., Denfield S. W., Dreyer W. J., Adachi I. "Compassionate" Cases of the Jarvik 2015 Ventricular Assist Device. ASAIO journal (American Society for Artificial Internal Organs : 1992), 2021. 67(9), 1036–1043. https://doi.org/10.1097/MAT.0000000000001351
5. Kervan U., Kocabeyoglu S.S., Sert D.E., Karahan M, Yilmax A. Implantation of a fully magnetically levitated left ventricular assist device to a 3-year-old patient with body surface area of 0.57 m2. Artif. Organs. 2023. 00:1-3. https://doi.org/10.1111/aor.14685
6. Furuta A., Shinkawa T., Ichihara Y., Yoshida H., Niinami H. Preoperative Computed Tomography Virtual Simulation for HeartMate 3 Implantation in Small Children. Annals of thoracic surgery short reports, 2024. 2(3), 404–406. https://doi.org/10.1016/j.atssr.2024.04.015
7. Podgaetz E., Diaz I., Andrade R. S. To Sink the Lifted: Selection, Technique, and Result of Laparoscopic Diaphragmatic Plication for Paralysis or Eventration. The Thoracic and cardiovascular surgeon, 2016. 64(8), 631–640. https://doi.org/10.1055/s-0035-1570372
8.
Review
For citations:
Belov V.A., Lazarkov P.V., Shekhmametyev R.M., Biyanov A.N. CASE OF SUCCESSFUL IMPLANTATION OF A FULLY MAGNETICALLY LEVITATED LEFT VENTRICULAR ASSIST DEVICE TO A 3-YEAR-OLD PATIENT WITH BODY SURFACE AREA OF 0.51 m2. Complex Issues of Cardiovascular Diseases. 2026;15(1):126-130. (In Russ.) https://doi.org/10.17802/2306-1278-2026-15-1-126-130
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