Ventricular assist device for failing systemic ventricle in an adult with prior mustard procedure.

Neely, Robert C; Davis, Robert Patrick; Stephens, Elizabeth H; Takayama, Hiroo; Khalpey, Zain; Ginns, Jonathan; Lee, Sun Hi; Chen, Jonathan · Ann Thorac Surg · 2013

case_report · Level V

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Abstract

The Mustard procedure is a palliative surgical procedure used to repair complete transposition of the great arteries. Cardiac transplantation remains the only definitive therapy for patients who develop heart failure after a Mustard procedure. However, pulmonary hypertension represents a major hemodynamic contraindication. The use of a ventricular assist device as destination therapy has not yet been established after a Mustard procedure. Here, we present the case of a 41-year-old patient who presented with systemic right ventricular failure following Mustard procedure complicated by pulmonary hypertension. The patient received a HeartMate II (Thoratec, Pleasanton, CA) ventricular assist device as a bridge to decision.

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