The availability of pulsatile mechanical assist devices for bridge to trans
plant in pediatric patients is limited owing to the patients' small sizes.
Pulsatile devices offer potential advantages over nonpulsatile devices but
the risk of hypertensive bleeding must be balanced against that of device t
hrombosis. We describe our experience using the BVS 5000 external pulsatile
device in an 8-year old patient with a body surface area of 0.88 m(2). (An
n Thorac Surg 2000;70:2151-3) (C) 2000 by The Society of Thoracic Surgeons.