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CC BY-NC-ND 4.0 · Thorac Cardiovasc Surg Rep 2025; 14(01): e36-e37
DOI: 10.1055/a-2737-7844
Pediatric Congenital Cardiology (PCC) Case Reports

Hot Chip Challenge: Acute Gastrointestinal Bleeding in a Pediatric Patient on Left Ventricular Assist Device

Autoren

  • Marcus Kelm

    1   Deutsches Herzzentrum der Charité, Department of Congenital Heart Disease-Pediatric Cardiology, Augustenburger Platz 1, Berlin, Germany
    2   Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Charitéplatz 1, Berlin, Germany
    3   Deutsches Herzzentrum der Charité, Institute of Computer-assisted Cardiovascular Medicine, Augustenburger Platz 1, Berlin, Germany

  • Oliver Miera

    1   Deutsches Herzzentrum der Charité, Department of Congenital Heart Disease-Pediatric Cardiology, Augustenburger Platz 1, Berlin, Germany
    2   Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Charitéplatz 1, Berlin, Germany

  • Julia Moosmann 

    1   Deutsches Herzzentrum der Charité, Department of Congenital Heart Disease-Pediatric Cardiology, Augustenburger Platz 1, Berlin, Germany
    2   Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Charitéplatz 1, Berlin, Germany
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Abstract

Gastrointestinal bleeding (GIB) is the most common and potentially life-threatening bleeding complication in pediatric patients on left ventricular assist devices (LVAD), particularly under anticoagulation. We report a 13-year-old female with dilated cardiomyopathy on HeartMate 3 support who developed acute GIB after participating in a “Hot Chip Challenge,” consuming excessive spicy chips. The bleeding required blood transfusion and intensive management. This case highlights the potential impact of lifestyle factors, especially dietary choices, on GIB risk in pediatric LVAD patients.

Keywords

bleeding - coagulation/anticoagulation - cardiomyopathy - circulatory assist devices - pediatric


Publikationsverlauf

Eingereicht: 25. August 2025

Angenommen: 13. Oktober 2025

Artikel online veröffentlicht:
01. Dezember 2025

© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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