Direct Echocardiographic Imaging of Berlin Heart Valves Can Aid in Early Detection of Berlin Heart Valve Dysfunction. Issue 1 (January 2019)

• Record Type: Journal Article
• Authors: Beasley, Gary S.; Nelson-McMillan, Kristen; Vricella, Luca; Thompson, William R.; Ravekes, William
• Is Part Of: ASAIO journal. Volume 65:Issue 1(2019)
• Publication Date: 2019-01
• Subjects: Berlin Heart -- thrombus -- echocardiography -- heart failure -- ventricular assist device; Artificial organs -- Periodicals; 617
• DOI: 10.1097/MAT.0000000000000756
• Languages: English
• ISSNs: 1058-2916

Abstract

Abstract : Mechanical circulatory support options remain limited for pediatric patients, especially neonates. The only U.S. Food and Drug Administration-approved pediatric device remains the Berlin Heart EXCOR, which unfortunately carries with it a 20–30% risk of neurologic complications, such as strokes. We demonstrate a new technique of direct echocardiographic color-Doppler imaging of the Berlin Heart valves to detect valve regurgitation. Increases in valve regurgitation could indicate issues with pump-valve thrombosis or increased afterload leading to valve insufficiency. Early recognition of valve thrombosis or insufficiency may reduce neurologic complications and lead to timely pump adjustments or replacement.