Long-term Right Ventricular Assist Device Support for Congenitally Corrected Transposition of the Great Arteries

Authors

  • Jeffrey A. Morgan
  • Gaetano Paone
  • Robert J. Brewer

DOI:

https://doi.org/10.1532/HSF98.20121052

Abstract

With congenitally corrected transposition of the great arteries, the right ventricle (RV) supports the systemic circulation. These patients have an increased risk of developing heart failure. Implantation of a ventricular assist device may be the only therapeutic option for patients who are not transplantation candidates. The technical aspects of implanting a mechanical device into the RV have not been well described, however. We describe our experience with one such case and describe our operative strategy in obtaining optimal placement of the inflow cannula.

References

Beauchesne LM, Warnes CA, Connolly HM, Ammash NM, Tajik AJ, Danielson GK. 2002. Outcome of the unoperated adult who presents with congenitally corrected transposition of the great arteries. J Am Coll Cardiol 40:285-90.nGraham TP, Bernard YD, Mellen BG, et al. 2000. Long-term outcome in congenitally corrected transposition of the great arteries: a multi-institutional study. J Am Coll Cardiol 36:255-61.nHuebler M, Stepanenko A, Krabatsch T, Poapov EV, Hetzer R. 2012. Mechanical circulatory support of systemic ventricle in adults with transposition of great arteries. ASAIO J 58:12-4.nJoyce DL, Crow SS, John R, et al. 2010. Mechanical circulatory support in patients with heart failure secondary to transposition of the great arteries. J Heart Lung Transplant 29:1302-5.nPiran S, Veldtman G, Siu S, Webb GD, Liu PP. 2002. Heart failure and ventricular dysfunction in patients with single or systemic right ventricles. Circulation 105:1189-94.nScohy TV, Gommers D, Maat AP, Dejong PL, Bogers AJ, Hofland J. 2009. Intraoperative transesophageal echocardiography is beneficial for hemodynamic stabilization during left ventricular assist device implantation in children. Paediatr Anaesth 19:390-5.nWarnes CA. 2006. Transposition of the great arteries. Circulation 114:2699-709.n

Published

2013-02-25

How to Cite

Morgan, J. A., Paone, G., & Brewer, R. J. (2013). Long-term Right Ventricular Assist Device Support for Congenitally Corrected Transposition of the Great Arteries. The Heart Surgery Forum, 16(1), E27-E29. https://doi.org/10.1532/HSF98.20121052

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