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Interact Cardiovasc Thorac Surg · Mar 2018
Case ReportsCannulation strategy for centrifugal-flow ventricular assist device implantation late after arterial switch operation.
- Ziv Beckerman, Hari Tunuguntla, Charles D Fraser, and Iki Adachi.
- Division of Congenital Heart Surgery, Texas Children's Hospital, Houston, TX, USA.
- Interact Cardiovasc Thorac Surg. 2018 Mar 1; 26 (3): 532-534.
AbstractThe field of paediatric ventricular assist device (VAD) support is growing rapidly. Among paediatric patients, those with complex congenital heart disease represent a challenging population for VAD support. This report describes a patient with a remote history of an arterial switch operation for d-transposition of the great arteries who developed ischaemic cardiomyopathy necessitating centrifugal-flow VAD support as a bridge to cardiac transplantation. Because of the unique anatomy and the complicated vascular situation, implantation of the centrifugal-flow VAD and subsequent explantation for cardiac transplantation required modifications to the standard surgical approach. The details of surgical pitfalls encountered are described.
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