Abstract
Improved survival outcomes for pediatric patients with ventricular assist devices (VADs) has expanded their application to complex univentricular cardiac lesions, including patients with systemic-to-pulmonary shunts, bidirectional cavopulmonary anastomoses (BCPAs), and total cavopulmonary Fontan circulations. Although it is generally recognized that complex cardiac anatomy is likely a significant risk factor affecting VAD survival, there remains a paucity of data examining the pediatric VAD experience with univentricular hearts.
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