Postoperative management of heart failure in pediatric patients.

TitlePostoperative management of heart failure in pediatric patients.
Publication TypeJournal Article
Year of Publication2016
AuthorsYuerek M, Rossano JW, Mascio CE, Shaddy RE
JournalExpert Rev Cardiovasc Ther
Date Published2016
KeywordsCardiac Surgical Procedures, Cardiopulmonary Bypass, Child, Heart Failure, Heart Transplantation, Heart-Assist Devices, Humans

Low cardiac output syndrome (LCOS) is a well-described entity occurring in 25-65% of pediatric patients undergoing open-heart surgery. With judicious intensive care management of LCOS, most patients have an uncomplicated postoperative course, and within 24 h after cardiopulmonary bypass, the cardiac function returns back to baseline. Some patients have severe forms of LCOS not responsive to medical management alone, requiring temporary mechanical circulatory support to prevent end-organ injury and to decrease myocardial stress and oxygen demand. Occasionally, cardiac function does not recover and heart transplantation is necessary. Long-term mechanical circulatory support devices are used as a bridge to transplantation because of limited availability of donor hearts. Experience in usage of continuous flow ventricular assist devices in the pediatric population is increasing.

Alternate JournalExpert Rev Cardiovasc Ther
PubMed ID26560361