HeartWare Ventricular Assist Device Placement in a Patient with Corrected Dextro-Transposition of Great Arteries

Research output: Contribution to journalArticle

3 Scopus citations

Abstract

Given the improved survival in patients with corrected dextro-transposition of great arteries (D-TGA), it has evolved into an adult congenital heart defect. It is important to understand the management and complications observed in this population that eventually progresses to systemic ventricular failure requiring cardiac transplantation. Our case focuses on the rapid right ventricle (RV) deterioration of a patient with corrected D-TGA following a surgical procedure requiring systemic support. With such patients awaiting heart transplantation, there are limited assist devices available for RV support and no right ventricular assist device is approved for destination therapy yet. Current indications for implantation of the HeartWare ventricular assist device (HVAD) are limited by the Food and Drug Administration (FDA) to the left ventricle support as a bridge to transplantation. However, its use in the United States for right-sided support has rarely been described for adult congenital defects. In this case, a HeartWare assist device was used to provide systemic support as a bridge to cardiac transplant. The size and implantation design of the HVAD makes it a promising option for patients with this challenging patient population and RV failure as a late complication.

Original languageEnglish (US)
Pages (from-to)243-247
Number of pages5
JournalSeminars in Cardiothoracic and Vascular Anesthesia
Volume19
Issue number3
DOIs
Publication statusPublished - Sep 21 2015

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Keywords

  • Mustard procedure
  • adult congenital heart disease
  • dextro-transposition of great arteries (D-TGA)
  • transesophageal echocardiography (TEE)
  • ventricular assist device (VAD)

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Anesthesiology and Pain Medicine

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