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We report a case of a 3-year-old child weighing 12\u2009kg with acute humoral rejection after cardiac transplantation not adequately responding to medical therapy who presented in persistent low cardiac output syndrome. We successfully stabilized the patient by implanting a Impella 2.5 device via a 6-mm Hemashield prosthesis on the right axillary artery. The patient was bridged to recovery.<\/jats:p>","DOI":"10.1093\/ejcts\/ezad157","type":"journal-article","created":{"date-parts":[[2023,4,25]],"date-time":"2023-04-25T16:56:44Z","timestamp":1682441804000},"source":"Crossref","is-referenced-by-count":10,"title":["Bridge to recovery using an Impella 2.5 device in a 3-year-old child"],"prefix":"10.1093","volume":"63","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3095-373X","authenticated-orcid":false,"given":"Kira","family":"Kuschnerus","sequence":"first","affiliation":[{"name":"Department of Congenital Heart Surgery\u2014Pediatric Heart Surgery, German Heart Center Berlin , Berlin, Germany"},{"name":"German Center for Cardiovascular Research (DZHK), Partner Site Berlin , Berlin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2753-1456","authenticated-orcid":false,"given":"Christoph","family":"Starck","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic and Vascular Surgery, German Heart Center Berlin , Berlin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9720-3175","authenticated-orcid":false,"given":"Evgenij","family":"Potapov","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic and Vascular Surgery, German Heart Center Berlin , Berlin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mi-Young","family":"Cho","sequence":"additional","affiliation":[{"name":"German Center for Cardiovascular Research (DZHK), Partner Site Berlin , Berlin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2023,4,25]]},"reference":[{"key":"2023050211480448100_ezad157-B1","doi-asserted-by":"crossref","first-page":"684","DOI":"10.1016\/j.ijcard.2015.07.065","article-title":"Impella ventricular support in clinical practice: collaborative viewpoint from a European expert user group","volume":"201","author":"Burzotta","year":"2015","journal-title":"Int J Cardiol"},{"key":"2023050211480448100_ezad157-B2","doi-asserted-by":"publisher","DOI":"10.3389\/fcvm.2020.00099","article-title":"Comparison of hemodynamic support by Impella vs. peripheral extra-corporeal membrane oxygenation: a porcine model of acute myocardial infarction","volume":"7","author":"Nix","year":"2020","journal-title":"Front Cardiovasc Med"},{"key":"2023050211480448100_ezad157-B3","doi-asserted-by":"crossref","first-page":"124","DOI":"10.1002\/ccd.26973","article-title":"A multicenter study of the Impella device for mechanical support of the systemic circulation in pediatric and adolescent patients","volume":"90","author":"Dimas","year":"2017","journal-title":"Catheter Cardiovasc Interv"}],"container-title":["European Journal of Cardio-Thoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ejcts\/advance-article-pdf\/doi\/10.1093\/ejcts\/ezad157\/50094337\/ezad157.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ejcts\/article-pdf\/63\/4\/ezad157\/50168487\/ezad157.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ejcts\/article-pdf\/63\/4\/ezad157\/50168487\/ezad157.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,5,2]],"date-time":"2023-05-02T11:48:21Z","timestamp":1683028101000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ejcts\/article\/doi\/10.1093\/ejcts\/ezad157\/7142556"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,4,1]]},"references-count":3,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2023,4,3]]}},"URL":"https:\/\/doi.org\/10.1093\/ejcts\/ezad157","relation":{},"ISSN":["1873-734X"],"issn-type":[{"value":"1873-734X","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2023,4,1]]},"published":{"date-parts":[[2023,4,1]]},"article-number":"ezad157"}}