VAD – bridge to transplant — RACP Paediatrics MCQ

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HardCardiologyVAD – bridge to transplantRACP Paediatrics

The same child's condition is deteriorating and a donor heart is not immediately available. What mechanical circulatory support can be used as a bridge to transplant?

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Correct answer: A — LVAD (left ventricular assist device)

A ventricular assist device (VAD) provides mechanical circulatory support as a bridge to transplant, bridge to recovery, or destination therapy. In children, both pulsatile and continuous-flow devices are used. The Berlin Heart EXCOR is the only paediatric-specific VAD approved for use. VAD support allows patients to be extubated and rehabilitated while awaiting transplant.

Reference: RCH Melbourne – 2023 – Heart Failure CPG; RACP Paediatric Curriculum – Cardiology