Abstract
BackgroundVentricular 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 presentationWe 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.ConclusionsPlacement of a VAD for systemic RV failure could be a life-saving treatment in adult patients with heart failure due to congenital heart disease.
Highlights
ConclusionsPlacement of a Ventricular assist device (VAD) for systemic right ventricle (RV) failure could be a life-saving treatment in adult patients with heart failure due to congenital heart disease
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 the great arteries (TGA)
Owing to this double discordance, a reconnection of the heart vessels is necessary to allow for proper blood circulation. This can be done with the Mustard or Senning procedure, which will help prevent cyanosis. Patients who undergo such arterial switch procedures are surviving to adulthood, but they often develop RV heart failure a few decades later
Summary
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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