Ventricular Assist Device for Failing Systemic Ventricle in an Adult With Prior Mustard Procedure

被引：14
作者：
Neely, Robert C. [1 ]
Davis, Robert Patrick
Stephens, Elizabeth H.
Takayama, Hiroo
Khalpey, Zain
Ginns, Jonathan
Lee, Sun Hi
Chen, Jonathan
机构：
[1] Columbia Univ, Med Ctr, Div Cardiothorac Surg, Dept Surg, New York, NY USA
来源：
ANNALS OF THORACIC SURGERY | 2013年 / 96卷 / 02期
关键词：
FIXED PULMONARY-HYPERTENSION; GREAT-ARTERIES; TRANSPOSITION; OPERATION;
D O I：
10.1016/j.athoracsur.2012.12.049
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
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. (C) 2013 by The Society of Thoracic Surgeons
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页码：691 / 693
页数：4
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