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Implantation of ventricular assist device for systemic right ventricular failure in a patient with transposition of the great arteries and post-Mustard procedure: a case report

BACKGROUND: Ventricular assist device (VAD) is usually attached by an inflow cannula to the apex of the systemic left ventricle (LV), but very few cases with implantation of the VAD in the morphologic right ventricle (RV) have been described. CASE PRESENTATION: We describe the case of a 41-year-old...

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Autores principales: Saito, Kazutomo, Toyama, Hiroaki, Abe, Nozomu, Sunouchi, Azusa, Ejima, Yutaka, Yamauchi, Masanori
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6967109/
https://www.ncbi.nlm.nih.gov/pubmed/32025942
http://dx.doi.org/10.1186/s40981-018-0194-x
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author Saito, Kazutomo
Toyama, Hiroaki
Abe, Nozomu
Sunouchi, Azusa
Ejima, Yutaka
Yamauchi, Masanori
author_facet Saito, Kazutomo
Toyama, Hiroaki
Abe, Nozomu
Sunouchi, Azusa
Ejima, Yutaka
Yamauchi, Masanori
author_sort Saito, Kazutomo
collection PubMed
description BACKGROUND: Ventricular assist device (VAD) is usually attached by an inflow cannula to the apex of the systemic left ventricle (LV), but very few cases with implantation of the VAD in the morphologic right ventricle (RV) have been described. CASE PRESENTATION: We describe the case of a 41-year-old male who developed severe systemic RV failure related to a Mustard procedure he had as an infant for treatment of TGA. His heart failure was refractory and irreversible, and therefore, he underwent VAD implantation for systemic RV support. Although the patient developed pulmonary congestion on postoperative day (POD) 5, he was discharged on POD 60. He is now looking forward to receiving heart transplantation. CONCLUSIONS: Placement of a VAD for systemic RV failure could be a life-saving treatment in adult patients with heart failure due to congenital heart disease.
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spelling pubmed-69671092020-02-04 Implantation of ventricular assist device for systemic right ventricular failure in a patient with transposition of the great arteries and post-Mustard procedure: a case report Saito, Kazutomo Toyama, Hiroaki Abe, Nozomu Sunouchi, Azusa Ejima, Yutaka Yamauchi, Masanori JA Clin Rep Case Report BACKGROUND: Ventricular assist device (VAD) is usually attached by an inflow cannula to the apex of the systemic left ventricle (LV), but very few cases with implantation of the VAD in the morphologic right ventricle (RV) have been described. CASE PRESENTATION: We describe the case of a 41-year-old male who developed severe systemic RV failure related to a Mustard procedure he had as an infant for treatment of TGA. His heart failure was refractory and irreversible, and therefore, he underwent VAD implantation for systemic RV support. Although the patient developed pulmonary congestion on postoperative day (POD) 5, he was discharged on POD 60. He is now looking forward to receiving heart transplantation. CONCLUSIONS: Placement of a VAD for systemic RV failure could be a life-saving treatment in adult patients with heart failure due to congenital heart disease. Springer Berlin Heidelberg 2018-07-25 /pmc/articles/PMC6967109/ /pubmed/32025942 http://dx.doi.org/10.1186/s40981-018-0194-x Text en © The Author(s) 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Case Report
Saito, Kazutomo
Toyama, Hiroaki
Abe, Nozomu
Sunouchi, Azusa
Ejima, Yutaka
Yamauchi, Masanori
Implantation of ventricular assist device for systemic right ventricular failure in a patient with transposition of the great arteries and post-Mustard procedure: a case report
title Implantation of ventricular assist device for systemic right ventricular failure in a patient with transposition of the great arteries and post-Mustard procedure: a case report
title_full Implantation of ventricular assist device for systemic right ventricular failure in a patient with transposition of the great arteries and post-Mustard procedure: a case report
title_fullStr Implantation of ventricular assist device for systemic right ventricular failure in a patient with transposition of the great arteries and post-Mustard procedure: a case report
title_full_unstemmed Implantation of ventricular assist device for systemic right ventricular failure in a patient with transposition of the great arteries and post-Mustard procedure: a case report
title_short Implantation of ventricular assist device for systemic right ventricular failure in a patient with transposition of the great arteries and post-Mustard procedure: a case report
title_sort implantation of ventricular assist device for systemic right ventricular failure in a patient with transposition of the great arteries and post-mustard procedure: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6967109/
https://www.ncbi.nlm.nih.gov/pubmed/32025942
http://dx.doi.org/10.1186/s40981-018-0194-x
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