• Mikel Gorbea, DuarteIngrid MorenoIMThe University of Texas Southwestern Medical Center Department of Anesthesiology and Pain Management at Children's Medical Center of Dallas, Dallas, TX., Joan S Reisch, and Jennifer Hernandez.
• The University of Texas Southwestern Medical Center Department of Anesthesiology and Pain Management at Children's Medical Center of Dallas, Dallas, TX. Electronic address: mikel.gorbea@utsouthwestern.edu.
• J. Cardiothorac. Vasc. Anesth. 2022 Dec 1; 36 (12): 434743564347-4356.

ObjectiveTo address the current lack of specified data existing regarding the perioperative characteristics and outcomes in a novel patient population, which may bridge the current understanding of how patient characteristics and perioperative management may influence the postoperative hospital course before cardiac transplantation.DesignA retrospective electronic chart review included all patients with failing single- ventricle (SV) physiology receiving ventricular assist device (VAD) support at a high-volume pediatric VAD center between April 5, 2010, and December 1, 2020, using institution-based electronic medical records for retrospective analysis.SettingAt a single pediatric hospital.ParticipantsFourteen pediatric patients with failing SV physiology receiving ventricular assist device therapy (SVAD).InterventionsNone.Measurements And Main ResultsPreoperative, intraoperative, and postoperative patient demographic and medical data were obtained from prior inpatient progress notes, laboratory values, anesthetic records, cardiac catheterization reports, echocardiography reports, and postoperative surgical notes entered during inpatient encounters at the time of SVAD placement. Between April 5, 2010, and December 1, 2020, 16 VAD device implants supported 14 pediatric patients with failing SV physiology. Most patients presented with a preoperative diagnosis of hypoplastic left heart syndrome (N = 9, 64.3%). A total of 6 patients expired on VAD therapy (43%), 7 (50%) survived to receive a cardiac transplant, and 1 patient currently remains on device therapy.ConclusionAlthough our institutional approach represents a single perspective, we anticipate that our experience institutional experience may prove helpful to others caring for peditric patients with single ventricle physiology undergoing ventricular assist device placement and promote collaborative efforts to improve their care.Copyright © 2022 The Author(s). Published by Elsevier Inc. All rights reserved.

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