Accelerated Wean: A Novel 3 Day Berlin Heart Protocol in a Pediatric Patient.

We present the case of a 4 year old child who developed cardiogenic shock due to permanent junctional reciprocating tachycardia, requiring left ventricular assist device (LVAD) support. Despite the initial critical clinical presentation, successful myocardial recovery was achieved over 5 months, allowing for successful LVAD explantation. The patient's young age and behavioral issues were constraining factors for a prolonged LVAD wean trial. A modified wean protocol over a 3 day period with parameters for assessment of cardiac recovery before LVAD explantation is described.Copyright © ASAIO 2024.

Citation

Sujata Subramanian, Monica S Ponce-Rivera, Jeremy Affolter, Daniel Shmorhun, Richard Owens, Charles D Fraser, Lauren Glass. Accelerated Wean: A Novel 3 Day Berlin Heart Protocol in a Pediatric Patient. ASAIO journal (American Society for Artificial Internal Organs : 1992). 2024 Sep 26

PMID: 39321094

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