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from Section 6 - Heart Failure, Mechanical Circulatory Support, and Transplantation
Published online by Cambridge University Press: 09 September 2021
A ventricular assist device is a mechanical pump used to support failing heart function when medical therapies have been exhausted. The need for mechanical circulatory support arises when medical therapy has been exhausted in the setting of heart failure. The purpose of a ventricular assist device such as the Berlin Heart EXCOR is to assume or augment ventricular function and restore cardiac output and adequate perfusion to end-organs. The Berlin Heart EXCOR (Berlin Heart GmbH) is the only Food and Drug Administration–approved device for long-term support of younger children with low cardiac output syndrome, and it can be used for right, left, or biventricular support. This chapter details the assessment and perioperative management of a patient receiving left ventricular support with a Berlin Heart.
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