Ventricular assist device implant and management in a pediatric patient with dextrocardia and autism spectrum disorder

The utilization of ventricular assist devices (VAD) in the treatment of patients with congenital heart disease has expanded significantly in the pediatric population, largely due to the improved outcomes and availability of paracorporeal devices. Here, we describe a unique case of a non-verbal 5-year-old male with a complicated medical history of autism spectrum disorder and dextrocardia with complex two-ventricle congenital heart disease who was successfully bridged to transplant through the use of a VAD. Patient-tailored management was necessary in the successful use of the VAD with the goal of reducing stress and anxiety during his hospital stay.