Paracorporeal Ventricular Assist Device Implantation in a Patient with Transposition of the Great Arteries After Senning Operation

Makiko Nakamura; Teruhiko Imamura; Hiroyuki Kuwahara; Masaki Nakagaito; Shigeki Yokoyama; Toshio Doi; Kazuaki Fukahara; Naoki Yoshimura; Koichiro Kinugawa

doi:10.1536/ihj.19-670

This article has now been updated. Please use the final version.

Paracorporeal Ventricular Assist Device Implantation in a Patient with Transposition of the Great Arteries After Senning Operation

Makiko Nakamura, Teruhiko Imamura, Hiroyuki Kuwahara, Masaki Nakagaito, Shigeki Yokoyama, Toshio Doi, Kazuaki Fukahara, Naoki Yoshimura, Koichiro Kinugawa

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Keywords: Hemodynamics, Adult congenital heart disease, Mechanical circulatory support

JOURNAL FREE ACCESS Advance online publication

Article ID: 19-670

DOI https://doi.org/10.1536/ihj.19-670

The final version of this article is now available: Vol. 61 (2020), No. 3 pp. 616-619

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Abstract

We experienced a 33-year-old patient with D-looped transposition of the great arteries (D-TGA) and a history of Senning operation who was referred to our institute with cardiogenic shock and subsequently underwent urgent paracorporeal ventricular assist device (VAD) implantation, which was a first in Japan, that was eventually converted to a durable VAD. Central venous pressure was maintained relatively high to obtain VAD filling and recover end-organ dysfunction, given the migration of the inflow cannula due to rich trabeculae carneae of the anatomical right ventricle (systemic ventricle in this case).

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