Publication Date

2-20-2021

Journal

Annals of Thoracic and Cardiovascular Surgery

DOI

10.5761/atcs.cr.18-00021

PMID

30101823

PMCID

PMC8043028

PubMedCentral® Posted Date

8-10-2018

PubMedCentral® Full Text Version

Post-print

Published Open-Access

yes

Keywords

Adult, Arterial Switch Operation, Congenitally Corrected Transposition of the Great Arteries, Fatal Outcome, Heart Failure, Heart Transplantation, Heart-Assist Devices, Humans, Male, Middle Aged, Prosthesis Design, Prosthesis Implantation, Recovery of Function, Time Factors, Treatment Outcome, Ventricular Function, Left, Ventricular Function, Right, heart failure, mechanical circulatory support, congenital heart disease

Abstract

An increasing number of children with congenital heart disease are surviving into adulthood and subsequently developing end-stage heart failure. Two example populations are adults who have been previously operated on for congenitally corrected transposition of the great arteries (CCTGA) and transposition of the great arteries (TGA). Implantation of a continuous flow left ventricular assist device (CF-LVAD) in these patients can present unusual anatomical and physiologic challenges. In this report, we describe outcomes of CF-LVAD implantation in three such patients. These cases demonstrate the feasibility of implanting a CF-LVAD in patients who have undergone surgery for CCTGA and/or TGA.

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