Hemostasis Management in Pediatric Mechanical Circulatory Support
SourceAnnals of Thoracic Surgery
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In a 9-year-old boy, bridging to transplantation was successful with an external biventricular device, the Berlin Heart Excor (Berlin Heart, Berlin, Germany), during a 7-month period. Main long-term complications consisted of infection and hypercoagulability with clotting inside the chambers necessitating six pump exchanges, but without thromboembolic events. This report reviews hemostasis monitoring and management of long-term mechanical circulatory support. © 2008 The Society of Thoracic Surgeons.