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Obstructions to the device cannulae are rare but potentially life-threatening complications of ventricular assist devices, but inflow cannula obstruction is hitherto unreported. We present a case of a 4-year-old supported with Berlin BiVAD who demonstrated acute decompensation related to thrombus within the left atrial cannula. We describe the diagnosis, intervention, as well as novel rescue using existing cannulae for extracorporeal membrane oxygenation support.<\/jats:p>","DOI":"10.1177\/0391398820901828","type":"journal-article","created":{"date-parts":[[2020,1,30]],"date-time":"2020-01-30T01:46:11Z","timestamp":1580348771000},"page":"625-628","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Inflow cannula obstruction in Berlin Heart Excor and novel extracorporeal membrane oxygenation cannulation for rescue"],"prefix":"10.1177","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8358-9783","authenticated-orcid":false,"given":"Shriprasad R","family":"Deshpande","sequence":"first","affiliation":[{"name":"Heart Transplant and Advanced Cardiac Therapies Program, Children\u2019s National Heart Institute, Children\u2019s National Health System, Washington, DC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manan","family":"Desai","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Surgery, Children\u2019s National Heart Institute, Children\u2019s National Health System, Washington, DC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pranava","family":"Sinha","sequence":"additional","affiliation":[{"name":"Heart Transplant and Advanced Cardiac Therapies Program, Department of Cardiovascular Surgery, Children\u2019s National Heart Institute, Children\u2019s National Health System, Washington, DC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joshua","family":"Kanter","sequence":"additional","affiliation":[{"name":"Cardiac Catheterization Laboratory, Children\u2019s National Heart Institute, Children\u2019s National Health System, Washington, DC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Can","family":"Yerebakan","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Surgery, Children\u2019s National Heart Institute, Children\u2019s National Health System, Washington, DC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,1,29]]},"reference":[{"key":"bibr1-0391398820901828","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.112.000685"},{"key":"bibr2-0391398820901828","doi-asserted-by":"publisher","DOI":"10.1097\/MAT.0000000000000454"},{"key":"bibr3-0391398820901828","doi-asserted-by":"publisher","DOI":"10.1111\/petr.13181"},{"key":"bibr4-0391398820901828","doi-asserted-by":"publisher","DOI":"10.1093\/icvts\/ivv205"},{"key":"bibr5-0391398820901828","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2016.03.573"},{"key":"bibr6-0391398820901828","first-page":"101","volume-title":"ISHLT monograph series 11: Pediatric ventricular assist device","author":"Deshpande SR","year":"2017"},{"key":"bibr7-0391398820901828","doi-asserted-by":"publisher","DOI":"10.1016\/j.echo.2015.05.008"}],"container-title":["The International Journal of Artificial Organs"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0391398820901828","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0391398820901828","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0391398820901828","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T19:42:00Z","timestamp":1777491720000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0391398820901828"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,1,29]]},"references-count":7,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2020,9]]}},"alternative-id":["10.1177\/0391398820901828"],"URL":"https:\/\/doi.org\/10.1177\/0391398820901828","relation":{},"ISSN":["0391-3988","1724-6040"],"issn-type":[{"value":"0391-3988","type":"print"},{"value":"1724-6040","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,1,29]]}}}