Berlin Heart EXCOR sVAD upsizing and exchange technique

The Berlin Heart EXCOR is used in paediatric patients with ventricular failure for temporary support as a bridge to a cardiac transplant or, occasionally, as a bridge to ventricular recovery. Neonates, infants and children who are supported with ventricular assist devices while gaining weight also have an increased demand for cardiac output while supported. Some patients might need a few pump exchanges to meet circulatory needs while growing. In this case report, we present the step-by-step technique for exchanging and upsizing the Berlin Heart EXCOR single ventricle-ventricular assist device in a 5-kg baby.