Publication Date
2-1-2015
Journal
The Texas Heart Journal
DOI
10.14503/THIJ-13-3374
PMID
25873797
Publication Date(s)
February 2015
Language
English
PMCID
PMC4378042
PubMedCentral® Posted Date
2-1-2015
PubMedCentral® Full Text Version
Post-Print
Published Open-Access
yes
Keywords
Fontan Procedure, Heart Failure, Heart Transplantation, Heart-Assist Devices, Hemodynamics, Humans, Male, Prosthesis Design, Time Factors, Transposition of Great Vessels, Treatment Failure, Ventricular Function, Left, Young Adult
Copyright
This work is licensed under a Creative Commons Attribution-NonCommercial-No Derivative Works 4.0 International License.
Abstract
We report the successful implantation of a HeartMate II left ventricular assist device after a failed Fontan procedure in a patient with dextro-transposition of the great arteries. The patient had developed significant intrapulmonary arteriovenous shunting. Despite the theoretical risk of worsening intrapulmonary shunting due to the decrease in systemic vascular resistance after device implantation, our patient did well. He was discharged from the hospital in stable condition and had better oxygen saturation than before the device was implanted. To our knowledge, ours is the 2nd report of the use of a ventricular assist device after the failure of a Fontan procedure, and the first report concerning the effect of ventricular assist device implantation on intrapulmonary shunting.