Placement of a Continuous-Flow Ventricular Assist Device in the Failing Ventricle of an Adult Patient with Complex Cyanotic Congenital Heart Disease
AbstractFor patients with end-stage heart failure and contraindications to transplantation, insertion of a continuous-flow left ventricular assist device (LVAD) is an effective treatment strategy. We present a case of LVAD insertion in a 46-year-old man with cyanotic complex congenital heart disease and an extensive surgical history who presented with failure of his systemic ventricle. The insertion of an LVAD in our patient restored cardiac output and improved cyanosis and native ventricular function. As the number of patients with congenital heart defects surviving to adulthood increases, destination LVAD therapy may be increasingly considered as an alternative.
Frazier OH, Myers TJ, Westaby S, Gregoric ID. 2003. Use of the Jarvik 2000 left ventricular assist system as a bridge to heart transplantation or as destination therapy for patients with chronic heart failure. Ann Surg 237:631-6.nFrazier OH, Gemmato C, Myers TJ, Gregoric ID, Radovancevic B, Loyalka P, Kar B. 2007. Initial clinical experience with the HeartMate I1 axial-flow left ventricular assist device. Tex Heart Inst J 34:275-81.nMusci M, Jurmann MJ, Drews T, et al. 2002. Implantation of a left ventricular assist device in situs inversus. Ann Thorac Surg 74:585-8.nPark SJ, Tector A, Piccioni W, et al. 2005. Left ventricular assist devices as destination therapy: a new look at survival. J Thorac Cardiovasc Surg 129:9-17.nRose EA, Gelijns AC, Moskowita AJ, et al. 2001. Long-term mechanical left ventricular assistance for end-stage heart failure. N Engl J Med 345:1435-43.nSouthard RE, Nelson JC, Joyce DL, et al. 2005. Placement of a left ventricular assist device in a patient with dextrocardia. J Heart Lung Transplant 24:338-9.nGregoric ID, Kosir R, Smart FW, et al. 2005. Left ventricular assist device implantation in a patient with congenitally corrected transposition of the great arteries. Tex Heart Inst J 32:567-9.n
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